| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal care ser per 15 min |
358,594 |
13,982 |
$17.53M |
| T1002 |
Rn services up to 15 minutes |
18,228 |
1,498 |
$4.35M |
| S5135 |
Adult companioncare per 15m |
8,495 |
1,557 |
$1.79M |
| T1003 |
Lpn/lvn services up to 15min |
16,282 |
1,865 |
$1.61M |
| S5126 |
Attendant care service /diem |
30,572 |
6,985 |
$1.05M |
| T2001 |
N-et; patient attend/escort |
17,218 |
2,764 |
$664K |
| S5150 |
Unskilled respite care /15m |
3,560 |
587 |
$558K |
| H2019 |
Ther behav svc, per 15 min |
2,964 |
200 |
$222K |
| A0080 |
Noninterest escort in non er |
17,954 |
4,215 |
$144K |
| T2021 |
Day habil waiver per 15 min |
1,859 |
396 |
$141K |
| S0215 |
Nonemerg transp mileage |
12,213 |
2,026 |
$90K |
| S5130 |
Homaker service nos per 15m |
1,560 |
170 |
$29K |
| T2033 |
Res, nos waiver per diem |
106 |
43 |
$18K |
| S9125 |
Respite care, in the home, p |
449 |
62 |
$0.00 |
| G0299 |
Hhs/hospice of rn ea 15 min |
2,392 |
155 |
$0.00 |
| T1005 |
Respite care service 15 min |
173 |
13 |
$0.00 |