| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
91,835 |
19,603 |
$857K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
88,602 |
18,532 |
$581K |
| A0130 |
Non-emergency transportation: wheelchair van |
32,914 |
4,903 |
$332K |
| S5170 |
Home delivered meals, including preparation; per meal |
55,490 |
2,155 |
$325K |
| 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) |
365 |
24 |
$22K |