| Code | Description | Claims | Beneficiaries | Total Paid |
| 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) |
19,035 |
1,750 |
$1.43M |
| S9124 |
Nursing care, in the home; by licensed practical nurse, per hour |
16,292 |
1,664 |
$656K |
| T1001 |
Nursing assessment / evaluation |
1,598 |
1,348 |
$169K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,144 |
653 |
$62K |
| S0209 |
Wheelchair van, mileage, per mile |
1,138 |
651 |
$44K |
| S5130 |
Homemaker service, nos; per 15 minutes |
328 |
74 |
$20K |
| S9122 |
Home health aide or certified nurse assistant, providing care in the home; per hour |
168 |
13 |
$14K |