| Code | Description | Claims | Beneficiaries | Total Paid |
| 96130 |
|
1,593 |
1,591 |
$461K |
| T2003 |
Non-emergency transportation; encounter/trip |
17,891 |
2,423 |
$306K |
| 92508 |
Group treatment of speech, language, voice, communication, and/or auditory processing disorder |
15,565 |
6,582 |
$222K |
| T1001 |
Nursing assessment / evaluation |
3,117 |
2,736 |
$203K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
3,799 |
1,887 |
$152K |
| A0425 |
Ground mileage, per statute mile |
17,252 |
2,354 |
$123K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
5,438 |
511 |
$108K |
| 92557 |
|
1,163 |
1,013 |
$106K |
| 96101 |
|
560 |
391 |
$99K |
| 92523 |
|
1,441 |
1,282 |
$71K |
| T1004 |
Services of a qualified nursing aide, up to 15 minutes |
960 |
119 |
$15K |
| 92521 |
|
301 |
276 |
$9K |
| 97163 |
|
59 |
58 |
$9K |
| V5011 |
Fitting/orientation/checking of hearing aid |
236 |
235 |
$8K |
| 92551 |
|
608 |
602 |
$5K |
| 97001 |
|
32 |
32 |
$4K |
| 92524 |
|
79 |
79 |
$2K |
| 99173 |
|
534 |
518 |
$2K |
| 97167 |
|
13 |
13 |
$2K |