| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2021 |
Com wrap-around sv, 15 min |
45,083 |
7,507 |
$18.84M |
| T2016 |
Habil res waiver per diem |
5,379 |
1,943 |
$7.77M |
| S5125 |
Attendant care service /15m |
17,339 |
1,866 |
$4.36M |
| S9122 |
Home health aide or certifie |
21,956 |
2,866 |
$2.64M |
| S5130 |
Homaker service nos per 15m |
31,489 |
4,842 |
$2.62M |
| S9123 |
Nursing care in home rn |
2,492 |
623 |
$1.39M |
| S5150 |
Unskilled respite care /15m |
6,535 |
830 |
$845K |
| S5140 |
Adult foster care per diem |
403 |
147 |
$640K |
| T1019 |
Personal care ser per 15 min |
386 |
92 |
$258K |
| H2032 |
Activity therapy, per 15 min |
328 |
61 |
$108K |
| 98960 |
|
540 |
519 |
$64K |