| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal care ser per 15 min |
204,125 |
9,303 |
$7.95M |
| S5130 |
Homaker service nos per 15m |
166,314 |
10,104 |
$4.95M |
| S5135 |
Adult companioncare per 15m |
65,878 |
3,957 |
$2.04M |
| S5150 |
Unskilled respite care /15m |
38,253 |
1,897 |
$944K |
| T1004 |
Nsg aide service up to 15min |
10,703 |
428 |
$360K |
| T1030 |
Rn home care per diem |
660 |
164 |
$17K |
| G0157 |
Hhc pt assistant ea 15 |
1,189 |
232 |
$0.00 |
| G0151 |
Hhcp-serv of pt,ea 15 min |
424 |
272 |
$0.00 |
| Q5001 |
Hospice or home hlth in home |
303 |
261 |
$0.00 |
| G0299 |
Hhs/hospice of rn ea 15 min |
1,825 |
225 |
$0.00 |
| Q5002 |
Hospice/home hlth in asst lv |
14 |
12 |
$0.00 |