| Code | Description | Claims | Beneficiaries | Total Paid |
| T1004 |
Services of a qualified nursing aide, up to 15 minutes |
30,844 |
1,686 |
$3.39M |
| S5130 |
Homemaker service, nos; per 15 minutes |
29,103 |
2,339 |
$1.09M |
| 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) |
9,837 |
546 |
$587K |
| S5135 |
Companion care, adult (e.g., iadl/adl); per 15 minutes |
456 |
24 |
$17K |