| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
91,262 |
17,072 |
$4.86M |
| T2023 |
Targeted case management; per month |
4,808 |
4,752 |
$2.36M |
| T2003 |
Non-emergency transportation; encounter/trip |
3,410 |
527 |
$138K |
| S0215 |
Non-emergency transportation; mileage, per mile |
2,526 |
201 |
$74K |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
951 |
228 |
$42K |
| A0100 |
Non-emergency transportation; taxi |
544 |
130 |
$12K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
950 |
153 |
$8K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
87 |
80 |
$6K |
| X5621 |
|
668 |
263 |
$0.00 |