| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case mgmt per month |
4,318 |
4,316 |
$2.30M |
| T1016 |
Case management |
39,785 |
11,344 |
$2.15M |
| S0215 |
Nonemerg transp mileage |
10,046 |
955 |
$502K |
| G9005 |
Mccd, risk adj, maintenance |
8,799 |
3,913 |
$310K |
| T2003 |
N-et; encounter/trip |
9,455 |
1,797 |
$197K |
| A0090 |
Interest escort in non er |
7,270 |
1,876 |
$92K |
| A0100 |
Nonemergency transport taxi |
2,533 |
463 |
$36K |
| A0080 |
Noninterest escort in non er |
346 |
147 |
$8K |
| T1028 |
Home environment assessment |
496 |
296 |
$7K |
| A0170 |
Transport parking fees/tolls |
493 |
300 |
$3K |
| A0190 |
Noner transport meals recip |
35 |
24 |
$482.21 |