| Code | Description | Claims | Beneficiaries | Total Paid |
| 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) |
28,431 |
2,083 |
$5.52M |
| A0130 |
Non-emergency transportation: wheelchair van |
11,979 |
873 |
$487K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
21,586 |
1,601 |
$332K |
| 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) |
6,652 |
972 |
$298K |
| 96153 |
|
3,393 |
253 |
$280K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
12,658 |
936 |
$61K |
| 96159 |
|
337 |
26 |
$48K |
| 96158 |
|
520 |
38 |
$9K |
| T5999 |
Supply, not otherwise specified |
290 |
290 |
$3K |
| 96164 |
|
161 |
12 |
$2K |