| 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) |
6,755 |
1,368 |
$4.14M |
| 96159 |
|
3,807 |
422 |
$654K |
| A0130 |
Non-emergency transportation: wheelchair van |
6,783 |
1,089 |
$529K |
| 96158 |
|
1,978 |
430 |
$100K |
| 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) |
428 |
65 |
$26K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,414 |
212 |
$13K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
860 |
556 |
$5K |
| T5999 |
Supply, not otherwise specified |
170 |
25 |
$135.00 |