| Code | Description | Claims | Bene. Records | 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) |
9,216 |
1,562 |
$1.49M |
| 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) |
6,418 |
657 |
$874K |
| S0215 |
Non-emergency transportation; mileage, per mile |
957 |
313 |
$8K |