| 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) |
17,280 |
1,115 |
$2.20M |
| S5135 |
Companion care, adult (e.g., iadl/adl); per 15 minutes |
3,655 |
136 |
$943K |
| S5100 |
Day care services, adult; per 15 minutes |
855 |
42 |
$419K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
148 |
43 |
$9K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
144 |
41 |
$4K |
| A0100 |
Non-emergency transportation; taxi |
64 |
29 |
$312.30 |