| Code | Description | Claims | Beneficiaries | Total Paid |
| S9124 |
Nursing care, in the home; b |
86,551 |
3,833 |
$77.72M |
| T1003 |
Lpn/lvn services up to 15min |
56,759 |
2,271 |
$48.64M |
| T2024 |
Serv asmnt/care plan waiver |
23,825 |
23,769 |
$5.61M |
| T1002 |
Rn services up to 15 minutes |
1,746 |
131 |
$1.14M |
| T1000 |
Private duty/independent nsg |
1,125 |
43 |
$895K |
| S9123 |
Nursing care in home rn |
615 |
55 |
$424K |
| 99349 |
|
1,004 |
1,004 |
$211K |
| T1024 |
Team evaluation & management |
684 |
684 |
$143K |
| T1001 |
Nursing assessment/evaluatn |
940 |
897 |
$99K |
| T1021 |
Hh aide or cn aide per visit |
750 |
750 |
$71K |
| T1022 |
Contracted services per day |
294 |
294 |
$67K |
| V5008 |
Hearing screening |
115 |
97 |
$9K |
| T1030 |
Rn home care per diem |
198 |
196 |
$5K |
| T1023 |
Program intake assessment |
59 |
57 |
$5K |
| 90471 |
|
134 |
134 |
$5K |