| Code | Description | Claims | Beneficiaries | Total Paid |
| T1019 |
Personal care ser per 15 min |
55,117 |
2,043 |
$1.67M |
| S9122 |
Home health aide or certifie |
9,857 |
399 |
$1.15M |
| S5130 |
Homaker service nos per 15m |
39,094 |
2,693 |
$987K |
| T1004 |
Nsg aide service up to 15min |
6,670 |
344 |
$241K |
| S5135 |
Adult companioncare per 15m |
1,002 |
101 |
$66K |
| S5150 |
Unskilled respite care /15m |
809 |
62 |
$38K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
219 |
149 |
$0.00 |
| G0299 |
Hhs/hospice of rn ea 15 min |
1,210 |
189 |
$0.00 |
| Q5001 |
Hospice or home hlth in home |
548 |
413 |
$0.00 |
| G0157 |
Hhc pt assistant ea 15 |
1,772 |
319 |
$0.00 |
| G0300 |
Hhs/hospice of lpn ea 15 min |
1,734 |
110 |
$0.00 |
| G0162 |
Hhc rn e&m plan svs, 15 min |
235 |
179 |
$0.00 |
| G0159 |
Hhc pt maint ea 15 min |
297 |
217 |
$0.00 |