| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care services; per 15 minutes |
37,301 |
2,690 |
$719K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
27,116 |
3,453 |
$237K |
| S0215 |
Non-emergency transportation; mileage, per mile |
27,152 |
3,456 |
$216K |
| A0130 |
Non-emergency transportation: wheelchair van |
2,511 |
349 |
$37K |
| 92508 |
Group treatment of speech, language, voice, communication, and/or auditory processing disorder |
4,773 |
2,495 |
$33K |
| S0209 |
Wheelchair van, mileage, per mile |
2,511 |
349 |
$31K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
254 |
190 |
$14K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
40 |
29 |
$1K |