| 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) |
19,887 |
8,803 |
$18.58M |
| S5130 |
Homemaker service, nos; per 15 minutes |
4,394 |
2,560 |
$2.26M |
| H0038 |
Self-help/peer services, per 15 minutes |
1,674 |
1,099 |
$1.66M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
4,474 |
3,965 |
$1.17M |