| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management |
17,581 |
15,314 |
$1.70M |
| T1019 |
Personal care ser per 15 min |
37,200 |
2,812 |
$1.67M |
| T1016 |
Case management |
25,669 |
4,101 |
$1.44M |
| S5130 |
Homaker service nos per 15m |
26,597 |
2,354 |
$496K |
| T1002 |
Rn services up to 15 minutes |
1,832 |
1,794 |
$173K |
| S5125 |
Attendant care service /15m |
3,143 |
436 |
$84K |
| T1004 |
Nsg aide service up to 15min |
1,057 |
141 |
$77K |
| S5161 |
Emer rspns sys serv permonth |
1,089 |
1,065 |
$31K |
| S5135 |
Adult companioncare per 15m |
253 |
24 |
$12K |
| G0299 |
Hhs/hospice of rn ea 15 min |
100 |
56 |
$10K |
| S5150 |
Unskilled respite care /15m |
126 |
52 |
$0.00 |