| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
65,023 |
4,536 |
$4.27M |
| 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) |
42,376 |
2,419 |
$2.08M |
| S5130 |
Homemaker service, nos; per 15 minutes |
26,580 |
1,617 |
$531K |
| T1005 |
Respite care services, up to 15 minutes |
246 |
24 |
$24K |