| Code | Description | Claims | Beneficiaries | Total Paid |
| S9124 |
Nursing care, in the home; b |
12,602 |
575 |
$8.16M |
| T1004 |
Nsg aide service up to 15min |
5,119 |
402 |
$570K |
| S5130 |
Homaker service nos per 15m |
4,962 |
520 |
$240K |
| S9123 |
Nursing care in home rn |
177 |
12 |
$121K |
| T1019 |
Personal care ser per 15 min |
329 |
27 |
$14K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
3,074 |
1,389 |
$0.00 |
| G0157 |
Hhc pt assistant ea 15 |
4,157 |
945 |
$0.00 |
| G0299 |
Hhs/hospice of rn ea 15 min |
8,326 |
1,626 |
$0.00 |
| Q5002 |
Hospice/home hlth in asst lv |
1,715 |
1,108 |
$0.00 |
| G0496 |
Lpn care train/edu in hh |
64 |
33 |
$0.00 |
| Q5001 |
Hospice or home hlth in home |
1,314 |
853 |
$0.00 |
| G0152 |
Hhcp-serv of ot,ea 15 min |
383 |
240 |
$0.00 |
| G0158 |
Hhc ot assistant ea 15 |
350 |
133 |
$0.00 |
| G0300 |
Hhs/hospice of lpn ea 15 min |
5,367 |
589 |
$0.00 |
| G0495 |
Rn care train/edu in hh |
2,057 |
728 |
$0.00 |