| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care services; per 15 minutes |
12,817 |
505 |
$1.33M |
| 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) |
11,846 |
519 |
$651K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
23,185 |
5,203 |
$163K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
69 |
12 |
$4K |
| A0425 |
Ground mileage, per statute mile |
16,001 |
3,625 |
$458.20 |