| Code | Description | Claims | Beneficiaries | Total Paid |
| T1004 |
Nsg aide service up to 15min |
39,578 |
3,724 |
$2.69M |
| G0156 |
Hhcp-svs of aide,ea 15 min |
21,773 |
2,029 |
$1.20M |
| T1019 |
Personal care ser per 15 min |
21,131 |
1,936 |
$1.11M |
| T1002 |
Rn services up to 15 minutes |
10,849 |
3,098 |
$1.07M |
| S9123 |
Nursing care in home rn |
10,880 |
2,983 |
$695K |
| S5125 |
Attendant care service /15m |
11,803 |
1,844 |
$688K |
| T2022 |
Case management, per month |
1,621 |
1,485 |
$274K |
| T2024 |
Serv asmnt/care plan waiver |
65 |
61 |
$19K |
| T1001 |
Nursing assessment/evaluatn |
71 |
53 |
$4K |
| S5130 |
Homaker service nos per 15m |
41 |
19 |
$1K |