| Code | Description | Claims | Beneficiaries | Total Paid |
| 96159 |
|
8,772 |
653 |
$941K |
| 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) |
3,308 |
230 |
$735K |
| 96158 |
|
9,077 |
664 |
$155K |
| A0130 |
Non-emergency transportation: wheelchair van |
2,562 |
150 |
$32K |
| 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) |
213 |
38 |
$17K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
1,732 |
118 |
$13K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
1,194 |
79 |
$7K |