| 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) |
133,639 |
7,355 |
$8.85M |
| S5125 |
Attendant care services; per 15 minutes |
81,232 |
4,372 |
$8.36M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
12,744 |
2,103 |
$749K |
| A0425 |
Ground mileage, per statute mile |
3,204 |
886 |
$55K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
2,200 |
637 |
$15K |
| A0100 |
Non-emergency transportation; taxi |
633 |
160 |
$621.50 |
| S0215 |
Non-emergency transportation; mileage, per mile |
22 |
14 |
$573.00 |