| Code | Description | Claims | Beneficiaries | Total Paid |
| T2024 |
Service assessment/plan of care development, waiver |
340 |
325 |
$0.00 |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
14 |
14 |
$0.00 |
| 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) |
62,022 |
6,249 |
$0.00 |
| S5125 |
Attendant care services; per 15 minutes |
55,942 |
5,411 |
$0.00 |