| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
19,125 |
4,017 |
$12.15M |
| 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) |
2,082 |
101 |
$139K |
| S0215 |
Non-emergency transportation; mileage, per mile |
356 |
144 |
$53K |
| S0209 |
Wheelchair van, mileage, per mile |
255 |
51 |
$34K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
261 |
258 |
$9K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
368 |
155 |
$5K |
| A0130 |
Non-emergency transportation: wheelchair van |
248 |
51 |
$5K |
| K0001 |
Standard wheelchair |
352 |
339 |
$5K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
129 |
73 |
$0.00 |