| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
1,583 |
126 |
$865K |
| 99600 |
Unlisted home visit service or procedure |
705 |
17 |
$18K |
| T1005 |
Respite care services, up to 15 minutes |
124 |
14 |
$0.00 |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
49 |
12 |
$0.00 |
| T2016 |
Habilitation, residential, waiver; per diem |
391 |
36 |
$0.00 |
| S5151 |
Unskilled respite care, not hospice; per diem |
76 |
18 |
$0.00 |
| S5130 |
Homemaker service, nos; per 15 minutes |
315 |
55 |
$0.00 |
| T2023 |
Targeted case management; per month |
217 |
53 |
$0.00 |