| Code | Description | Claims | Beneficiaries | Total Paid |
| S5130 |
Homemaker service, nos; per 15 minutes |
197,709 |
7,256 |
$6.69M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
77,468 |
5,625 |
$5.65M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
34,979 |
2,968 |
$2.81M |
| 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) |
60,459 |
3,847 |
$2.17M |
| S5151 |
Unskilled respite care, not hospice; per diem |
1,571 |
382 |
$262K |
| S5100 |
Day care services, adult; per 15 minutes |
4,068 |
524 |
$228K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
3,107 |
293 |
$215K |
| T2003 |
Non-emergency transportation; encounter/trip |
4,784 |
382 |
$130K |