| Code | Description | Claims | Beneficiaries | Total Paid |
| 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) |
695,974 |
27,002 |
$33.79M |
| S5126 |
Attendant care services; per diem |
84,293 |
16,650 |
$2.12M |
| T2001 |
Non-emergency transportation; patient attendant/escort |
13,391 |
4,287 |
$945K |
| S5130 |
Homemaker service, nos; per 15 minutes |
23,032 |
2,720 |
$495K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
61,221 |
12,604 |
$316K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
1,944 |
477 |
$64K |
| S0215 |
Non-emergency transportation; mileage, per mile |
14,853 |
2,596 |
$52K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
640 |
36 |
$32K |