| Code | Description | Claims | Beneficiaries | Total Paid |
| T1019 |
Personal care ser per 15 min |
1,186,721 |
51,878 |
$124.36M |
| T1020 |
Personal care ser per diem |
43,641 |
1,668 |
$11.54M |
| T1030 |
Rn home care per diem |
21,299 |
3,024 |
$5.66M |
| S9123 |
Nursing care in home rn |
19,838 |
4,340 |
$4.28M |
| S5126 |
Attendant care service /diem |
3,123 |
135 |
$339K |
| T1022 |
Contracted services per day |
3,109 |
107 |
$211K |
| S9127 |
Social work visit, in the ho |
829 |
826 |
$64K |
| T2024 |
Serv asmnt/care plan waiver |
218 |
218 |
$24K |
| T1001 |
Nursing assessment/evaluatn |
231 |
226 |
$21K |
| G0162 |
Hhc rn e&m plan svs, 15 min |
132 |
126 |
$2K |