| Code | Description | Claims | Beneficiaries | Total Paid |
| S9122 |
Home health aide or certifie |
46,548 |
2,297 |
$6.53M |
| S5130 |
Homaker service nos per 15m |
63,061 |
5,340 |
$2.86M |
| T1019 |
Personal care ser per 15 min |
53,062 |
2,794 |
$2.85M |
| S9123 |
Nursing care in home rn |
3,352 |
133 |
$2.39M |
| T1004 |
Nsg aide service up to 15min |
26,671 |
1,867 |
$2.08M |
| S5135 |
Adult companioncare per 15m |
19,218 |
1,519 |
$769K |
| G0159 |
Hhc pt maint ea 15 min |
356 |
218 |
$0.00 |
| G0162 |
Hhc rn e&m plan svs, 15 min |
300 |
209 |
$0.00 |
| Q5002 |
Hospice/home hlth in asst lv |
440 |
311 |
$0.00 |
| G0299 |
Hhs/hospice of rn ea 15 min |
8,403 |
581 |
$0.00 |
| Q5001 |
Hospice or home hlth in home |
370 |
250 |
$0.00 |
| G0157 |
Hhc pt assistant ea 15 |
1,824 |
300 |
$0.00 |
| G0151 |
Hhcp-serv of pt,ea 15 min |
107 |
70 |
$0.00 |