| Code | Description | Claims | Beneficiaries | Total Paid |
| 96159 |
|
62,438 |
4,078 |
$7.37M |
| 96152 |
|
20,829 |
1,265 |
$2.39M |
| 96158 |
|
63,114 |
4,108 |
$1.01M |
| T2001 |
Non-emergency transportation; patient attendant/escort |
41,688 |
2,747 |
$592K |
| A0130 |
Non-emergency transportation: wheelchair van |
16,139 |
1,056 |
$516K |
| 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) |
2,149 |
140 |
$457K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
9,494 |
612 |
$304K |
| 96165 |
|
4,798 |
409 |
$192K |
| T1019 |
Personal care services, per 15 minutes, 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) |
1,816 |
188 |
$137K |
| 96164 |
|
5,419 |
468 |
$52K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
14,684 |
902 |
$39K |