| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case management; per month |
4,107 |
4,073 |
$2.16M |
| T1016 |
Case management, each 15 minutes |
33,234 |
8,890 |
$1.73M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
8,310 |
1,554 |
$80K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
603 |
304 |
$34K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
826 |
446 |
$6K |
| X5621 |
|
44 |
44 |
$0.00 |