| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5130 |
Homemaker service, nos; per 15 minutes |
17,553 |
1,295 |
$1.70M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
10,737 |
1,039 |
$1.63M |
| T2016 |
Habilitation, residential, waiver; per diem |
8,606 |
233 |
$1.63M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
6,009 |
602 |
$670K |
| 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) |
3,390 |
418 |
$389K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
897 |
55 |
$104K |