| Code | Description | Claims | Beneficiaries | Total Paid |
| T2023 |
Targeted case management; per month |
2,530 |
2,447 |
$786K |
| T1016 |
Case management, each 15 minutes |
16,031 |
4,612 |
$544K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
2,541 |
586 |
$59K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
3,714 |
1,136 |
$49K |
| A0100 |
Non-emergency transportation; taxi |
553 |
209 |
$3K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
109 |
38 |
$1K |
| S0250 |
Comprehensive geriatric assessment and treatment planning performed by assessment team |
93 |
92 |
$300.00 |