| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case management; per month |
4,318 |
4,316 |
$2.30M |
| T1016 |
Case management, each 15 minutes |
39,785 |
11,344 |
$2.15M |
| S0215 |
Non-emergency transportation; mileage, per mile |
10,046 |
955 |
$502K |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
8,799 |
3,913 |
$310K |
| T2003 |
Non-emergency transportation; encounter/trip |
9,455 |
1,797 |
$197K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
7,270 |
1,876 |
$92K |
| A0100 |
Non-emergency transportation; taxi |
2,533 |
463 |
$36K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
346 |
147 |
$8K |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
496 |
296 |
$7K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
493 |
300 |
$3K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
35 |
24 |
$482.21 |