| 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) |
1,864 |
1,101 |
$623K |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
1,122 |
591 |
$353K |
| S5130 |
Homemaker service, nos; per 15 minutes |
1,393 |
789 |
$258K |
| T2034 |
Crisis intervention, waiver; per diem |
68 |
67 |
$0.00 |