| Code | Description | Claims | Beneficiaries | Total Paid |
| T1019 |
Personal care ser per 15 min |
93,368 |
4,137 |
$4.06M |
| T1021 |
Hh aide or cn aide per visit |
80,504 |
3,013 |
$1.79M |
| S5130 |
Homaker service nos per 15m |
79,950 |
4,495 |
$1.76M |
| S5135 |
Adult companioncare per 15m |
26,995 |
1,507 |
$908K |
| S5150 |
Unskilled respite care /15m |
4,927 |
209 |
$274K |
| T1004 |
Nsg aide service up to 15min |
3,598 |
130 |
$104K |
| T1030 |
Rn home care per diem |
65 |
49 |
$7K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
631 |
134 |
$0.00 |
| Q5002 |
Hospice/home hlth in asst lv |
377 |
298 |
$0.00 |
| G0299 |
Hhs/hospice of rn ea 15 min |
7,322 |
430 |
$0.00 |