| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal care ser per 15 min |
259,412 |
10,274 |
$9.36M |
| S5130 |
Homaker service nos per 15m |
216,011 |
10,962 |
$5.44M |
| S5135 |
Adult companioncare per 15m |
53,535 |
2,821 |
$1.64M |
| S5150 |
Unskilled respite care /15m |
33,605 |
1,568 |
$1.28M |
| T1004 |
Nsg aide service up to 15min |
15,380 |
627 |
$827K |
| S9122 |
Home health aide or certifie |
7,311 |
341 |
$477K |
| T1021 |
Hh aide or cn aide per visit |
17,959 |
866 |
$473K |
| T1031 |
Lpn home care per diem |
8,803 |
580 |
$326K |
| T1030 |
Rn home care per diem |
2,232 |
446 |
$118K |
| T1001 |
Nursing assessment/evaluatn |
321 |
290 |
$21K |