| Code | Description | Claims | Beneficiaries | Total Paid |
| T1019 |
Personal care ser per 15 min |
378,045 |
18,442 |
$20.05M |
| S5130 |
Homaker service nos per 15m |
345,653 |
19,792 |
$9.69M |
| S5135 |
Adult companioncare per 15m |
88,069 |
5,566 |
$2.98M |
| T1004 |
Nsg aide service up to 15min |
58,990 |
2,320 |
$2.10M |
| S5150 |
Unskilled respite care /15m |
33,096 |
1,637 |
$2.03M |
| T1021 |
Hh aide or cn aide per visit |
4,770 |
261 |
$122K |
| G0157 |
Hhc pt assistant ea 15 |
1,752 |
267 |
$0.00 |
| Q5001 |
Hospice or home hlth in home |
492 |
339 |
$0.00 |
| G0151 |
Hhcp-serv of pt,ea 15 min |
499 |
284 |
$0.00 |
| G0299 |
Hhs/hospice of rn ea 15 min |
722 |
65 |
$0.00 |
| G0300 |
Hhs/hospice of lpn ea 15 min |
158 |
12 |
$0.00 |