| Code | Description | Claims | Beneficiaries | Total Paid |
| S9122 |
Home health aide or certified nurse assistant, providing care in the home; per hour |
4,187 |
220 |
$383K |
| S5130 |
Homemaker service, nos; per 15 minutes |
6,769 |
524 |
$383K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
663 |
111 |
$327K |
| S5125 |
Attendant care services; per 15 minutes |
1,143 |
55 |
$174K |
| S9123 |
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
423 |
39 |
$101K |
| H2015 |
Comprehensive community support services, per 15 minutes |
173 |
33 |
$10K |
| T2025 |
Waiver services; not otherwise specified (nos) |
55 |
14 |
$5K |