| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care service /15m |
182,673 |
9,653 |
$19.70M |
| T1019 |
Personal care ser per 15 min |
187,055 |
11,769 |
$11.64M |
| S5130 |
Homaker service nos per 15m |
124,561 |
5,434 |
$8.95M |
| S5150 |
Unskilled respite care /15m |
16,882 |
3,796 |
$934K |
| G9002 |
Mccd,maintenance rate |
4,929 |
4,834 |
$791K |
| H2015 |
Comp comm supp svc, 15 min |
8,535 |
522 |
$607K |
| T1002 |
Rn services up to 15 minutes |
8,438 |
5,322 |
$122K |
| A0160 |
Noner transport case worker |
16,290 |
2,425 |
$102K |
| T1001 |
Nursing assessment/evaluatn |
893 |
650 |
$57K |
| S5161 |
Emer rspns sys serv permonth |
779 |
719 |
$21K |
| S0315 |
Disease management program |
42 |
38 |
$19K |
| T1004 |
Nsg aide service up to 15min |
175 |
24 |
$2K |