| 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) |
10,412 |
6,881 |
$19.37M |
| S5130 |
Homemaker service, nos; per 15 minutes |
4,318 |
3,846 |
$4.80M |
| H0038 |
Self-help/peer services, per 15 minutes |
2,631 |
2,303 |
$1.86M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
29 |
15 |
$0.00 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
22 |
12 |
$0.00 |