| 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) |
33,573 |
2,059 |
$4.75M |
| T1021 |
Home health aide or certified nurse assistant, per visit |
11,541 |
1,659 |
$3.12M |
| T2025 |
Waiver services; not otherwise specified (nos) |
7,864 |
552 |
$1.51M |
| T2028 |
Specialized supply, not otherwise specified, waiver |
434 |
399 |
$128K |