| Code | Description | Claims | Beneficiaries | Total Paid |
| 96165 |
|
16,495 |
1,218 |
$1.02M |
| 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) |
5,284 |
401 |
$982K |
| 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) |
8,271 |
782 |
$344K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
5,046 |
358 |
$238K |
| 96153 |
|
3,402 |
242 |
$186K |
| 96164 |
|
17,187 |
1,255 |
$174K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
7,495 |
602 |
$115K |
| 96159 |
|
1,605 |
177 |
$105K |
| 96158 |
|
2,100 |
211 |
$33K |
| A0130 |
Non-emergency transportation: wheelchair van |
177 |
13 |
$3K |
| T1001 |
Nursing assessment / evaluation |
87 |
43 |
$2K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
80 |
79 |
$317.13 |