| Code | Description | Claims | Beneficiaries | Total Paid |
| T1030 |
Rn home care per diem |
59,721 |
19,995 |
$9.25M |
| T1019 |
Personal care ser per 15 min |
34,436 |
2,602 |
$3.98M |
| S9131 |
Pt in the home per diem |
12,631 |
3,970 |
$1.59M |
| S5125 |
Attendant care service /15m |
9,594 |
491 |
$1.24M |
| S9129 |
Occupational therapy, in the |
6,991 |
2,179 |
$872K |
| S9128 |
Speech therapy, in the home, |
3,676 |
1,378 |
$502K |
| S9123 |
Nursing care in home rn |
2,603 |
767 |
$288K |
| S9127 |
Social work visit, in the ho |
1,480 |
1,146 |
$192K |
| S9122 |
Home health aide or certifie |
1,216 |
130 |
$116K |
| S5105 |
Centerbased day care perdiem |
408 |
115 |
$77K |
| G0156 |
Hhcp-svs of aide,ea 15 min |
220 |
13 |
$21K |
| G0299 |
Hhs/hospice of rn ea 15 min |
164 |
38 |
$753.13 |
| 0031A |
|
42 |
41 |
$92.61 |
| 91303 |
|
36 |
35 |
$0.01 |
| G0162 |
Hhc rn e&m plan svs, 15 min |
255 |
169 |
$0.00 |
| G0151 |
Hhcp-serv of pt,ea 15 min |
31 |
12 |
$0.00 |