| Code | Description | Claims | Beneficiaries | Total Paid |
| T1020 |
Personal care services, per diem, 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) |
2,187 |
219 |
$557K |
| 96165 |
|
2,886 |
239 |
$329K |
| 96164 |
|
1,928 |
280 |
$46K |
| 96153 |
|
461 |
26 |
$35K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
837 |
76 |
$27K |
| A0130 |
Non-emergency transportation: wheelchair van |
143 |
12 |
$10K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
218 |
12 |
$4K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
630 |
71 |
$3K |
| 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) |
55 |
12 |
$2K |