| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
33,247 |
1,409 |
$4.25M |
| 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) |
33,592 |
1,588 |
$2.51M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
169 |
36 |
$14K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
1,695 |
777 |
$8K |
| A0130 |
Non-emergency transportation: wheelchair van |
273 |
107 |
$3K |
| A0425 |
Ground mileage, per statute mile |
1,210 |
553 |
$225.40 |
| A0100 |
Non-emergency transportation; taxi |
262 |
111 |
$0.00 |