| Code | Description | Claims | Beneficiaries | Total Paid |
| T1019 |
Personal care ser per 15 min |
672,043 |
25,777 |
$23.26M |
| S5130 |
Homaker service nos per 15m |
560,316 |
28,380 |
$12.33M |
| S5135 |
Adult companioncare per 15m |
174,988 |
8,697 |
$3.89M |
| S9122 |
Home health aide or certifie |
46,605 |
2,261 |
$3.11M |
| T1004 |
Nsg aide service up to 15min |
42,183 |
1,853 |
$2.12M |
| S5150 |
Unskilled respite care /15m |
98,758 |
2,877 |
$1.42M |
| 97110 |
|
4,857 |
641 |
$417K |
| T1002 |
Rn services up to 15 minutes |
1,826 |
104 |
$209K |
| G0299 |
Hhs/hospice of rn ea 15 min |
4,065 |
185 |
$0.00 |
| Q5001 |
Hospice or home hlth in home |
371 |
264 |
$0.00 |
| G0151 |
Hhcp-serv of pt,ea 15 min |
388 |
186 |
$0.00 |
| G0157 |
Hhc pt assistant ea 15 |
1,212 |
163 |
$0.00 |