| 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) |
20,383 |
1,421 |
$4.16M |
| 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) |
7,881 |
966 |
$476K |
| 96152 |
|
1,831 |
124 |
$206K |
| A0130 |
Non-emergency transportation: wheelchair van |
13,666 |
917 |
$176K |
| H0033 |
Oral medication administration, direct observation |
3,949 |
281 |
$53K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
396 |
358 |
$813.59 |
| T5999 |
Supply, not otherwise specified |
300 |
274 |
$458.72 |