| 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) |
187,743 |
7,578 |
$10.55M |
| T1003 |
Lpn/lvn services, up to 15 minutes |
15,724 |
1,447 |
$1.03M |
| S5126 |
Attendant care services; per diem |
14,180 |
3,711 |
$424K |
| T1002 |
Rn services, up to 15 minutes |
3,839 |
465 |
$375K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
4,926 |
2,071 |
$219K |
| S5125 |
Attendant care services; per 15 minutes |
5,900 |
751 |
$208K |
| S5130 |
Homemaker service, nos; per 15 minutes |
6,242 |
824 |
$103K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
820 |
710 |
$8K |
| S0215 |
Non-emergency transportation; mileage, per mile |
475 |
423 |
$7K |