| Code | Description | Claims | Beneficiaries | Total Paid |
| 96165 |
|
80,316 |
5,497 |
$7.50M |
| 96153 |
|
50,238 |
3,218 |
$5.49M |
| T1020 |
Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
7,811 |
521 |
$1.40M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
31,983 |
2,156 |
$1.26M |
| 96164 |
|
80,830 |
5,512 |
$880K |
| 96159 |
|
6,184 |
481 |
$788K |
| 96158 |
|
6,681 |
486 |
$115K |
| A0130 |
Non-emergency transportation: wheelchair van |
4,643 |
299 |
$97K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,678 |
125 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
658 |
273 |
$376.76 |