| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
2,134 |
191 |
$101K |
| 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) |
2,240 |
160 |
$84K |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
671 |
197 |
$56K |
| S5130 |
Homemaker service, nos; per 15 minutes |
1,744 |
197 |
$54K |