| Code | Description | Claims | Beneficiaries | Total Paid |
| 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) |
53,086 |
4,570 |
$5.58M |
| S5130 |
Homemaker service, nos; per 15 minutes |
4,346 |
864 |
$140K |
| S5126 |
Attendant care services; per diem |
1,629 |
439 |
$97K |
| S0215 |
Non-emergency transportation; mileage, per mile |
6,622 |
1,498 |
$78K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
900 |
265 |
$63K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
875 |
281 |
$12K |