| Code | Description | Claims | Beneficiaries | Total Paid |
| S5135 |
Companion care, adult (e.g., iadl/adl); per 15 minutes |
310 |
297 |
$223K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
770 |
595 |
$220K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
191 |
181 |
$137K |
| S5125 |
Attendant care services; per 15 minutes |
45 |
41 |
$50K |
| T2003 |
Non-emergency transportation; encounter/trip |
909 |
665 |
$49K |
| S0215 |
Non-emergency transportation; mileage, per mile |
42 |
12 |
$3K |