| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal care ser per 15 min |
1,921,232 |
127,631 |
$127.89M |
| S5150 |
Unskilled respite care /15m |
161,416 |
10,021 |
$9.93M |
| T1001 |
Nursing assessment/evaluatn |
157,703 |
57,126 |
$7.68M |
| S5130 |
Homaker service nos per 15m |
80,044 |
8,825 |
$1.75M |
| T1028 |
Home environment assessment |
7,239 |
5,133 |
$381K |
| S5126 |
Attendant care service /diem |
3,170 |
118 |
$283K |
| T2040 |
Financial mgt waiver/15min |
961 |
908 |
$122K |
| T2028 |
Special supply, nos waiver |
110 |
105 |
$17K |
| S5125 |
Attendant care service /15m |
45 |
12 |
$3K |