| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal care ser per 15 min |
861,555 |
47,889 |
$127.13M |
| T1020 |
Personal care ser per diem |
5,696 |
317 |
$756K |
| T2024 |
Serv asmnt/care plan waiver |
2,455 |
2,433 |
$723K |
| T1001 |
Nursing assessment/evaluatn |
1,481 |
1,460 |
$236K |
| H2017 |
Psysoc rehab svc, per 15 min |
1,467 |
588 |
$211K |
| S5125 |
Attendant care service /15m |
876 |
45 |
$119K |
| T1022 |
Contracted services per day |
310 |
310 |
$64K |
| G0162 |
Hhc rn e&m plan svs, 15 min |
215 |
210 |
$17K |
| 99199 |
|
93 |
93 |
$14K |
| T1030 |
Rn home care per diem |
29 |
27 |
$2K |
| H0038 |
Self-help/peer svc per 15min |
93 |
69 |
$0.00 |
| T1024 |
Team evaluation & management |
42 |
22 |
$0.00 |