| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
31,252 |
6,866 |
$2.05M |
| T2023 |
Targeted case management; per month |
4,219 |
3,672 |
$1.61M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
5,985 |
1,031 |
$78K |
| S0215 |
Non-emergency transportation; mileage, per mile |
767 |
283 |
$77K |
| S5120 |
Chore services; per 15 minutes |
1,876 |
502 |
$55K |
| A0100 |
Non-emergency transportation; taxi |
607 |
259 |
$12K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
520 |
218 |
$7K |
| A0180 |
Non-emergency transportation: ancillary: lodging-recipient |
74 |
29 |
$6K |