| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care service /15m |
570,751 |
20,366 |
$27.97M |
| H2016 |
Comp comm supp svc, per diem |
877 |
567 |
$2.54M |
| T1005 |
Respite care service 15 min |
41,789 |
1,696 |
$1.20M |
| M0150 |
|
1,942 |
72 |
$295K |
| T2020 |
Day habil waiver per diem |
309 |
160 |
$122K |
| M0116 |
|
3,644 |
139 |
$102K |
| H2014 |
Skills train and dev, 15 min |
1,400 |
62 |
$68K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
1,526 |
194 |
$65K |
| G0299 |
Hhs/hospice of rn ea 15 min |
186 |
94 |
$9K |
| T1019 |
Personal care ser per 15 min |
940 |
39 |
$4K |
| M0299 |
|
13 |
12 |
$3K |
| M0298 |
|
97 |
36 |
$1K |
| M0133 |
|
22 |
18 |
$1K |
| T1003 |
Lpn/lvn services up to 15min |
19 |
13 |
$379.42 |