| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal care ser per 15 min |
1,964,613 |
76,429 |
$81.01M |
| S5130 |
Homaker service nos per 15m |
1,679,871 |
87,994 |
$34.05M |
| S5135 |
Adult companioncare per 15m |
635,762 |
32,286 |
$14.64M |
| T1004 |
Nsg aide service up to 15min |
342,032 |
14,397 |
$12.51M |
| S5150 |
Unskilled respite care /15m |
307,708 |
13,566 |
$10.90M |
| T1021 |
Hh aide or cn aide per visit |
105,103 |
4,011 |
$3.34M |
| S9122 |
Home health aide or certifie |
68,196 |
2,927 |
$2.26M |
| T1005 |
Respite care service 15 min |
26,563 |
1,864 |
$719K |
| T1030 |
Rn home care per diem |
5,322 |
3,974 |
$244K |
| T1003 |
Lpn/lvn services up to 15min |
305 |
12 |
$5K |
| T1031 |
Lpn home care per diem |
275 |
12 |
$2K |
| T1001 |
Nursing assessment/evaluatn |
27 |
27 |
$1K |