| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
20,751 |
4,710 |
$746K |
| T2023 |
Targeted case management; per month |
1,693 |
1,658 |
$554K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
2,048 |
530 |
$48K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
2,473 |
770 |
$33K |
| T2003 |
Non-emergency transportation; encounter/trip |
243 |
217 |
$13K |
| A0100 |
Non-emergency transportation; taxi |
1,116 |
472 |
$4K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
366 |
146 |
$1K |
| S0250 |
Comprehensive geriatric assessment and treatment planning performed by assessment team |
176 |
176 |
$0.00 |