| Code | Description | 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) |
$19.25M |
| G0156 |
Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
$18.13M |
| G9012 |
Other specified case management service not elsewhere classified |
$614K |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
$604K |
| T2003 |
Non-emergency transportation; encounter/trip |
$379K |
| A0130 |
Non-emergency transportation: wheelchair van |
$335K |
| T1001 |
Nursing assessment / evaluation |
$237K |
| S5130 |
Homemaker service, nos; per 15 minutes |
$158K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
$105K |