| 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) |
31,534 |
6,429 |
$11.64M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
5,948 |
4,111 |
$3.02M |
| S5130 |
Homemaker service, nos; per 15 minutes |
7,058 |
1,571 |
$1.88M |
| H0038 |
Self-help/peer services, per 15 minutes |
3,201 |
787 |
$1.47M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,139 |
912 |
$198K |