| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5130 |
Homemaker service, nos; per 15 minutes |
4,601 |
3,757 |
$1.36M |
| 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) |
2,860 |
2,277 |
$1.23M |
| T2003 |
Non-emergency transportation; encounter/trip |
8,177 |
1,695 |
$822K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
1,926 |
1,546 |
$595K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
2,067 |
1,733 |
$421K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
494 |
373 |
$303K |