| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management, each 15 minutes |
44,246 |
23,049 |
$8.61M |
| S5125 |
Attendant care services; per 15 minutes |
49,420 |
2,326 |
$4.81M |
| 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) |
21,738 |
1,062 |
$2.68M |
| G9012 |
Other specified case management service not elsewhere classified |
17,953 |
700 |
$2.39M |
| G9004 |
Coordinated care fee, risk adjusted low, initial |
38,851 |
1,420 |
$1.63M |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
4,236 |
4,082 |
$1.51M |
| G9003 |
Coordinated care fee, risk adjusted high, initial |
10,027 |
368 |
$630K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
6,330 |
610 |
$571K |
| T1004 |
Services of a qualified nursing aide, up to 15 minutes |
4,567 |
466 |
$426K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
690 |
550 |
$72K |