| Code | Description | Claims | Beneficiaries | Total Paid |
| H2021 |
Community-based wrap-around services, per 15 minutes |
2,472 |
1,332 |
$1.48M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
2,260 |
1,141 |
$1.15M |
| S5130 |
Homemaker service, nos; per 15 minutes |
3,019 |
1,356 |
$695K |
| 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) |
1,068 |
601 |
$348K |
| S5151 |
Unskilled respite care, not hospice; per diem |
141 |
80 |
$67K |
| T2003 |
Non-emergency transportation; encounter/trip |
1,495 |
402 |
$57K |