| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96159 |
|
13,688 |
960 |
$1.48M |
| 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) |
5,704 |
415 |
$1.06M |
| 96152 |
|
5,519 |
395 |
$683K |
| 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) |
3,895 |
484 |
$192K |
| 96158 |
|
13,744 |
960 |
$191K |
| A0130 |
Non-emergency transportation: wheelchair van |
2,022 |
142 |
$56K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
3,522 |
229 |
$16K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
12 |
12 |
$34.02 |