| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case management; per month |
2,702 |
2,618 |
$987K |
| T1016 |
Case management, each 15 minutes |
7,966 |
2,884 |
$579K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
6,597 |
1,020 |
$66K |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
1,570 |
1,566 |
$60K |
| A0100 |
Non-emergency transportation; taxi |
2,103 |
241 |
$38K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
613 |
342 |
$6K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
429 |
192 |
$3K |
| X5621 |
|
16 |
16 |
$0.00 |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
52 |
52 |
$0.00 |