| Code | Description | Claims | Beneficiaries | Total Paid |
| H2021 |
Community-based wrap-around services, per 15 minutes |
34,958 |
8,449 |
$9.22M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
24,615 |
7,394 |
$5.13M |
| S5130 |
Homemaker service, nos; per 15 minutes |
31,916 |
8,701 |
$4.08M |
| S5151 |
Unskilled respite care, not hospice; per diem |
10,789 |
2,895 |
$2.60M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
7,199 |
2,198 |
$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) |
5,032 |
1,723 |
$701K |
| T2003 |
Non-emergency transportation; encounter/trip |
5,384 |
1,643 |
$293K |
| S5100 |
Day care services, adult; per 15 minutes |
1,776 |
539 |
$261K |