| 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) |
32,104 |
2,122 |
$3.46M |
| T1005 |
Respite care services, up to 15 minutes |
7,284 |
934 |
$246K |
| S0215 |
Non-emergency transportation; mileage, per mile |
3,963 |
748 |
$102K |
| T2003 |
Non-emergency transportation; encounter/trip |
4,704 |
515 |
$42K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,618 |
506 |
$34K |
| S5102 |
Day care services, adult; per diem |
505 |
64 |
$34K |
| G2021 |
Health care practitioners rendering treatment in place (tip) |
21 |
18 |
$30K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
3,415 |
197 |
$22K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
248 |
246 |
$7K |