| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5135 |
Adult companioncare per 15m |
976,729 |
43,662 |
$152.09M |
| T1019 |
Personal care ser per 15 min |
1,098,539 |
40,128 |
$66.59M |
| S5150 |
Unskilled respite care /15m |
275,580 |
27,231 |
$39.96M |
| S5130 |
Homaker service nos per 15m |
990,788 |
91,178 |
$39.31M |
| H2015 |
Comp comm supp svc, 15 min |
31,670 |
2,119 |
$3.45M |
| H2014 |
Skills train and dev, 15 min |
20,167 |
4,590 |
$2.13M |
| H0045 |
Respite not-in-home per diem |
5,442 |
1,232 |
$1.31M |
| S5151 |
Unskilled respitecare /diem |
3,535 |
697 |
$796K |
| H2032 |
Activity therapy, per 15 min |
6,043 |
2,034 |
$601K |
| S5126 |
Attendant care service /diem |
17,889 |
525 |
$600K |
| T2028 |
Special supply, nos waiver |
3,591 |
166 |
$4K |