| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal care ser per 15 min |
8,140,618 |
388,410 |
$690.59M |
| T1003 |
Lpn/lvn services up to 15min |
9,198 |
553 |
$3.98M |
| H2016 |
Comp comm supp svc, per diem |
14,047 |
702 |
$3.05M |
| H2021 |
Com wrap-around sv, 15 min |
19,793 |
1,220 |
$2.74M |
| W1793 |
|
14,783 |
579 |
$2.64M |
| 1021Z |
|
13,776 |
703 |
$1.91M |
| 1023Z |
|
5,320 |
222 |
$1.25M |
| T1005 |
Respite care service 15 min |
10,206 |
1,209 |
$880K |
| T1002 |
Rn services up to 15 minutes |
1,274 |
90 |
$673K |
| S5125 |
Attendant care service /15m |
26,607 |
1,701 |
$358K |
| 1210Z |
|
4,242 |
276 |
$288K |
| T1001 |
Nursing assessment/evaluatn |
6,717 |
6,676 |
$233K |
| 1214Z |
|
3,691 |
303 |
$87K |
| S5161 |
Emer rspns sys serv permonth |
59 |
59 |
$2K |