| Code | Description | Claims | Beneficiaries | Total Paid |
| 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) |
167,884 |
7,826 |
$14.66M |
| H0038 |
Self-help/peer services, per 15 minutes |
81,377 |
4,700 |
$5.65M |
| S5130 |
Homemaker service, nos; per 15 minutes |
55,896 |
3,904 |
$3.41M |
| T2003 |
Non-emergency transportation; encounter/trip |
12,519 |
2,493 |
$574K |
| A0100 |
Non-emergency transportation; taxi |
3,738 |
669 |
$286K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
5,256 |
2,334 |
$173K |
| A0425 |
Ground mileage, per statute mile |
6,629 |
2,766 |
$153K |
| A0130 |
Non-emergency transportation: wheelchair van |
818 |
303 |
$33K |