| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2021 |
Community-based wrap-around services, per 15 minutes |
5,274 |
2,664 |
$3.63M |
| S5130 |
Homemaker service, nos; per 15 minutes |
8,516 |
3,462 |
$2.45M |
| T2016 |
Habilitation, residential, waiver; per diem |
431 |
191 |
$1.29M |
| 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) |
4,571 |
1,883 |
$1.28M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
3,070 |
1,484 |
$1.12M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
3,032 |
1,286 |
$858K |
| T2003 |
Non-emergency transportation; encounter/trip |
4,793 |
1,482 |
$605K |
| S5151 |
Unskilled respite care, not hospice; per diem |
323 |
230 |
$188K |
| S5100 |
Day care services, adult; per 15 minutes |
166 |
128 |
$124K |