| 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) |
10,212 |
454 |
$535K |
| A0425 |
Ground mileage, per statute mile |
33,113 |
6,294 |
$355K |
| S5170 |
Home delivered meals, including preparation; per meal |
53,658 |
2,071 |
$315K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
27,212 |
5,566 |
$205K |
| A0130 |
Non-emergency transportation: wheelchair van |
12,979 |
1,693 |
$186K |
| S5125 |
Attendant care services; per 15 minutes |
1,877 |
64 |
$132K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
333 |
98 |
$0.00 |
| S0215 |
Non-emergency transportation; mileage, per mile |
360 |
99 |
$0.00 |