| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96159 |
|
45,247 |
4,301 |
$8.43M |
| 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) |
4,376 |
852 |
$3.21M |
| 96152 |
|
18,422 |
1,434 |
$3.20M |
| A0130 |
Non-emergency transportation: wheelchair van |
23,957 |
3,530 |
$2.31M |
| 96158 |
|
22,257 |
4,325 |
$1.16M |
| 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) |
12,500 |
1,625 |
$1.01M |
| T2001 |
Non-emergency transportation; patient attendant/escort |
29,478 |
3,014 |
$895K |
| 96165 |
|
5,691 |
767 |
$475K |
| 96164 |
|
3,607 |
828 |
$89K |
| 96153 |
|
1,217 |
134 |
$62K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
3,016 |
448 |
$34K |
| T5999 |
Supply, not otherwise specified |
899 |
201 |
$2K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
203 |
83 |
$745.57 |