| Code | Description | Claims | Beneficiaries | Total Paid |
| S5130 |
Homaker service nos per 15m |
222,127 |
11,291 |
$14.20M |
| T1000 |
Private duty/independent nsg |
20,607 |
873 |
$5.75M |
| T1019 |
Personal care ser per 15 min |
56,978 |
3,005 |
$2.51M |
| S5135 |
Adult companioncare per 15m |
43,076 |
2,523 |
$1.73M |
| T1004 |
Nsg aide service up to 15min |
24,434 |
1,411 |
$1.32M |
| S9122 |
Home health aide or certifie |
6,693 |
331 |
$204K |
| S5151 |
Unskilled respitecare /diem |
3,147 |
204 |
$136K |
| T1001 |
Nursing assessment/evaluatn |
2,143 |
96 |
$127K |
| S5150 |
Unskilled respite care /15m |
3,086 |
194 |
$85K |
| T1005 |
Respite care service 15 min |
95 |
13 |
$3K |