| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5130 |
Homemaker service, nos; per 15 minutes |
2,101 |
1,220 |
$1.09M |
| 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) |
1,285 |
1,080 |
$751K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
800 |
682 |
$386K |
| T2003 |
Non-emergency transportation; encounter/trip |
957 |
540 |
$188K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
1,296 |
983 |
$148K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
12 |
12 |
$11K |