| 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) |
4,770 |
578 |
$229K |
| H2015 |
Comprehensive community support services, per 15 minutes |
4,726 |
503 |
$221K |
| S5170 |
Home delivered meals, including preparation; per meal |
23,484 |
974 |
$164K |
| S0215 |
Non-emergency transportation; mileage, per mile |
529 |
125 |
$2K |