| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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) |
7,740 |
493 |
$933K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
196 |
63 |
$121K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
19,129 |
6,440 |
$106K |
| A0100 |
Non-emergency transportation; taxi |
18,620 |
6,202 |
$19K |
| A0425 |
Ground mileage, per statute mile |
11,740 |
4,112 |
$100.05 |