| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
29,961 |
1,479 |
$3.83M |
| 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) |
50,098 |
2,833 |
$3.33M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
1,643 |
248 |
$135K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
14,480 |
3,768 |
$93K |
| A0130 |
Non-emergency transportation: wheelchair van |
2,638 |
537 |
$46K |
| A0425 |
Ground mileage, per statute mile |
11,041 |
2,817 |
$16K |
| S0215 |
Non-emergency transportation; mileage, per mile |
44 |
43 |
$4K |