| 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) |
82,595 |
4,656 |
$6.20M |
| T2025 |
Waiver services; not otherwise specified (nos) |
9,320 |
3,410 |
$349K |
| A0200 |
Non-emergency transportation: ancillary: lodging escort |
803 |
282 |
$41K |
| T1001 |
Nursing assessment / evaluation |
351 |
343 |
$12K |
| T2003 |
Non-emergency transportation; encounter/trip |
167 |
144 |
$4K |
| A0100 |
Non-emergency transportation; taxi |
151 |
96 |
$3K |