| 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) |
180,942 |
6,763 |
$11.59M |
| S0215 |
Non-emergency transportation; mileage, per mile |
20,364 |
3,206 |
$2.54M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
20,360 |
3,205 |
$285K |
| A0100 |
Non-emergency transportation; taxi |
2,737 |
439 |
$211K |
| S9999 |
Sales tax |
7,931 |
294 |
$28K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
13 |
12 |
$234.09 |