| Code | Description | Claims | Beneficiaries | Total Paid |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
3,930 |
1,843 |
$3.32M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
406 |
245 |
$428K |
| S5130 |
Homemaker service, nos; per 15 minutes |
699 |
321 |
$208K |
| T2003 |
Non-emergency transportation; encounter/trip |
155 |
101 |
$65K |
| T2034 |
Crisis intervention, waiver; per diem |
33 |
24 |
$0.00 |