| Code | Description | Claims | Beneficiaries | Total Paid |
| T1004 |
Services of a qualified nursing aide, up to 15 minutes |
7,942 |
657 |
$689K |
| S5130 |
Homemaker service, nos; per 15 minutes |
7,975 |
820 |
$331K |
| 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) |
1,455 |
82 |
$107K |
| S5135 |
Companion care, adult (e.g., iadl/adl); per 15 minutes |
398 |
56 |
$20K |