| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1020 |
Personal care ser per diem |
36,419 |
2,644 |
$8.17M |
| 96165 |
|
46,424 |
3,739 |
$3.82M |
| 96153 |
|
49,450 |
3,673 |
$3.77M |
| 96159 |
|
11,486 |
1,167 |
$1.35M |
| 96152 |
|
16,620 |
1,850 |
$1.22M |
| A0130 |
Noner transport wheelch van |
21,518 |
1,598 |
$1.13M |
| T1019 |
Personal care ser per 15 min |
11,902 |
1,391 |
$995K |
| A0110 |
Nonemergency transport bus |
18,885 |
1,493 |
$945K |
| 96164 |
|
47,679 |
3,814 |
$584K |
| T1002 |
Rn services up to 15 minutes |
5,374 |
500 |
$358K |
| 96158 |
|
13,931 |
1,423 |
$271K |
| T2001 |
N-et; patient attend/escort |
10,262 |
872 |
$165K |
| T1999 |
Noc retail items andsupplies |
17,941 |
2,850 |
$55K |
| T1001 |
Nursing assessment/evaluatn |
2,655 |
1,363 |
$52K |
| H0033 |
Oral med adm direct observe |
733 |
63 |
$12K |