| Code | Description | States | Median rate |
|---|---|---|---|
| T2001 | Non-emergency transportation; patient attendant/escort | 18 | $8.24 |
| T2002 | Non-emergency transportation; per diem | 13 | $24.04 |
| T2003 | Non-emergency transportation; encounter/trip | 25 | $17.43 |
| T2005 | Non-emergency transportation; stretcher van | 14 | $60.00 |
| T2016 | Habilitation, residential, waiver; per diem | 12 | $82.21 |
| T2019 | Habilitation, supported employment, waiver; per 15 minutes | 14 | $8.84 |
| T2021 | Day habilitation, waiver; per 15 minutes | 14 | $15.97 |
| T2022 | Case management, per month | 17 | $229.17 |
| T2023 | Targeted case management; per month | 14 | $372.66 |
| T2024 | Service assessment/plan of care development, waiver | 15 | $132.50 |
| T2025 | Waiver services; not otherwise specified (nos) | 18 | $346.95 |
| T2029 | Specialized medical equipment, not otherwise specified, waiver | 11 | $1.00 |
| T2031 | Assisted living; waiver, per diem | 11 | $85.79 |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 14 | $195.64 |
| T2038 | Community transition, waiver; per service | 16 | $868.59 |
| T2101 | Human breast milk processing, storage and distribution only | 11 | $4.59 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.