| Code | Description | Claims | Beneficiaries | Total Paid |
| T1019 |
Personal care ser per 15 min |
186,989 |
8,649 |
$9.87M |
| S5130 |
Homaker service nos per 15m |
184,212 |
10,646 |
$4.60M |
| T1004 |
Nsg aide service up to 15min |
43,395 |
1,903 |
$1.83M |
| S9122 |
Home health aide or certifie |
27,490 |
1,323 |
$1.55M |
| S5135 |
Adult companioncare per 15m |
50,228 |
2,973 |
$1.41M |
| S5150 |
Unskilled respite care /15m |
25,574 |
1,382 |
$1.33M |
| T1021 |
Hh aide or cn aide per visit |
22,272 |
833 |
$1.04M |
| T1001 |
Nursing assessment/evaluatn |
126 |
121 |
$10K |
| Q5001 |
Hospice or home hlth in home |
23 |
15 |
$0.00 |