| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
26,333 |
7,225 |
$1.49M |
| T2023 |
Targeted case management; per month |
1,984 |
1,887 |
$1.08M |
| S0215 |
Non-emergency transportation; mileage, per mile |
3,908 |
684 |
$162K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
3,705 |
656 |
$34K |
| T2003 |
Non-emergency transportation; encounter/trip |
1,515 |
441 |
$33K |
| A0100 |
Non-emergency transportation; taxi |
770 |
251 |
$16K |
| S5120 |
Chore services; per 15 minutes |
113 |
26 |
$5K |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
59 |
24 |
$4K |
| X5621 |
|
48 |
48 |
$0.00 |