| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
4,404 |
1,267 |
$301K |
| T2023 |
Targeted case management; per month |
536 |
528 |
$222K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
11,320 |
3,652 |
$200K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
1,545 |
662 |
$103K |
| A0180 |
Non-emergency transportation: ancillary: lodging-recipient |
208 |
117 |
$27K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
1,668 |
834 |
$17K |
| A0100 |
Non-emergency transportation; taxi |
1,224 |
368 |
$9K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
282 |
147 |
$2K |
| X5621 |
|
79 |
79 |
$0.00 |