| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case management; per month |
1,818 |
1,800 |
$843K |
| T1016 |
Case management, each 15 minutes |
10,507 |
3,356 |
$577K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
3,996 |
1,430 |
$82K |
| S0215 |
Non-emergency transportation; mileage, per mile |
603 |
155 |
$73K |
| T2003 |
Non-emergency transportation; encounter/trip |
216 |
64 |
$10K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
208 |
116 |
$3K |