| Code | Description | Claims | Beneficiaries | Total Paid |
| S5130 |
Homemaker service, nos; per 15 minutes |
7,774 |
1,011 |
$329K |
| T1004 |
Services of a qualified nursing aide, up to 15 minutes |
2,814 |
274 |
$147K |
| 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) |
524 |
50 |
$29K |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
46 |
12 |
$2K |