| Code | Description | Claims | Beneficiaries | Total Paid |
| H2015 |
Comprehensive community support services, per 15 minutes |
1,245,025 |
53,142 |
$154.74M |
| 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) |
36,638 |
20,274 |
$31.43M |
| T1005 |
Respite care services, up to 15 minutes |
442,336 |
44,748 |
$28.28M |
| H0043 |
Supported housing, per diem |
4,287 |
607 |
$1.80M |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
177 |
170 |
$74K |
| S0215 |
Non-emergency transportation; mileage, per mile |
427 |
120 |
$14K |