| 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) |
184,530 |
29,791 |
$38.53M |
| T1016 |
Case management, each 15 minutes |
42,884 |
40,598 |
$13.99M |
| T2028 |
Specialized supply, not otherwise specified, waiver |
35,657 |
32,999 |
$5.17M |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
12,296 |
12,113 |
$419K |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
12 |
12 |
$19K |
| T2035 |
Utility services to support medical equipment and assistive technology/devices, waiver |
39 |
38 |
$2K |