| Code | Description | Claims | Beneficiaries | Total Paid |
| T1019 |
Personal care ser per 15 min |
43,378 |
1,597 |
$2.25M |
| S5130 |
Homaker service nos per 15m |
34,763 |
1,917 |
$1.11M |
| S5135 |
Adult companioncare per 15m |
11,070 |
653 |
$274K |
| T1030 |
Rn home care per diem |
1,241 |
1,162 |
$64K |
| T1004 |
Nsg aide service up to 15min |
116 |
26 |
$28K |
| T1021 |
Hh aide or cn aide per visit |
336 |
42 |
$14K |
| G0299 |
Hhs/hospice of rn ea 15 min |
2,869 |
411 |
$0.00 |
| G0151 |
Hhcp-serv of pt,ea 15 min |
2,686 |
234 |
$0.00 |
| Q5001 |
Hospice or home hlth in home |
590 |
359 |
$0.00 |
| G0158 |
Hhc ot assistant ea 15 |
91 |
13 |
$0.00 |
| G0152 |
Hhcp-serv of ot,ea 15 min |
218 |
41 |
$0.00 |