| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5140 |
Adult foster care per diem |
15,973 |
5,034 |
$11.92M |
| S5130 |
Homaker service nos per 15m |
61,811 |
10,837 |
$8.16M |
| S5170 |
Homedelivered prepared meal |
175,253 |
20,409 |
$4.28M |
| T1019 |
Personal care ser per 15 min |
48,628 |
7,177 |
$4.01M |
| G0156 |
Hhcp-svs of aide,ea 15 min |
7,332 |
1,599 |
$3.14M |
| T2022 |
Case management, per month |
57,094 |
53,446 |
$3.05M |
| S5135 |
Adult companioncare per 15m |
14,451 |
3,267 |
$2.50M |
| S5161 |
Emer rspns sys serv permonth |
18,974 |
18,973 |
$482K |
| T1023 |
Program intake assessment |
2,541 |
2,327 |
$283K |
| S5175 |
Laundry serv,ext,prof,/order |
5,718 |
1,549 |
$201K |
| T2003 |
N-et; encounter/trip |
2,274 |
632 |
$185K |
| H0046 |
Mental health service, nos |
9,664 |
5,378 |
$184K |
| G0299 |
Hhs/hospice of rn ea 15 min |
1,987 |
1,915 |
$175K |
| 99456 |
|
1,179 |
1,033 |
$162K |
| S5102 |
Adult day care per diem |
2,004 |
165 |
$117K |
| S0280 |
Medical home, initial plan |
265 |
265 |
$40K |
| S5100 |
Adult daycare services 15min |
715 |
91 |
$36K |
| S5165 |
Home modifications per serv |
79 |
75 |
$34K |
| T1020 |
Personal care ser per diem |
15,837 |
538 |
$26K |
| S5120 |
Chore services per 15 min |
171 |
132 |
$7K |
| S5101 |
Adult day care per half day |
116 |
14 |
$5K |
| S5160 |
Emer response sys instal&tst |
42 |
42 |
$2K |