| Code | Description | Claims | Beneficiaries | Total Paid |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
3,109 |
3,078 |
$1.58M |
| 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) |
23,762 |
833 |
$1.38M |
| T2002 |
Non-emergency transportation; per diem |
9,305 |
534 |
$477K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
15,920 |
897 |
$393K |