| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96153 |
|
34,029 |
2,453 |
$4.29M |
| 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) |
7,300 |
557 |
$1.58M |
| 96165 |
|
9,010 |
700 |
$684K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
20,086 |
1,471 |
$496K |
| 96152 |
|
4,329 |
542 |
$458K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
20,361 |
1,557 |
$347K |
| 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) |
2,644 |
283 |
$152K |
| A0130 |
Non-emergency transportation: wheelchair van |
4,346 |
324 |
$131K |
| 96164 |
|
9,151 |
707 |
$103K |
| T5999 |
Supply, not otherwise specified |
129 |
128 |
$777.49 |
| H0033 |
Oral medication administration, direct observation |
54 |
14 |
$712.80 |