| Code | Description | Claims | Beneficiaries | Total Paid |
| S5130 |
Homaker service nos per 15m |
84,286 |
16,155 |
$8.70M |
| T1019 |
Personal care ser per 15 min |
59,342 |
8,475 |
$4.76M |
| G0156 |
Hhcp-svs of aide,ea 15 min |
8,878 |
1,808 |
$3.71M |
| S5170 |
Homedelivered prepared meal |
84,884 |
12,692 |
$1.92M |
| S5135 |
Adult companioncare per 15m |
16,986 |
3,891 |
$1.74M |
| S5140 |
Adult foster care per diem |
6,200 |
625 |
$1.43M |
| T2022 |
Case management, per month |
20,704 |
19,056 |
$1.07M |
| S5102 |
Adult day care per diem |
6,307 |
919 |
$1.00M |
| S5161 |
Emer rspns sys serv permonth |
32,460 |
32,321 |
$784K |
| T2003 |
N-et; encounter/trip |
5,662 |
1,059 |
$372K |
| S5175 |
Laundry serv,ext,prof,/order |
9,057 |
2,040 |
$239K |
| T1020 |
Personal care ser per diem |
10,725 |
3,835 |
$199K |
| G9001 |
Mccd, initial rate |
1,879 |
1,868 |
$124K |
| S5120 |
Chore services per 15 min |
2,125 |
696 |
$119K |
| T1023 |
Program intake assessment |
724 |
679 |
$85K |
| S5165 |
Home modifications per serv |
464 |
450 |
$77K |
| H0046 |
Mental health service, nos |
1,584 |
1,477 |
$63K |
| A9279 |
Monitoring feature/devicenoc |
1,709 |
1,709 |
$53K |
| A0425 |
Ground mileage |
447 |
184 |
$18K |
| G9002 |
Mccd,maintenance rate |
1,942 |
1,905 |
$8K |
| G0299 |
Hhs/hospice of rn ea 15 min |
46 |
37 |
$7K |
| 96160 |
|
141 |
141 |
$5K |
| S5160 |
Emer response sys instal&tst |
135 |
135 |
$5K |
| S0280 |
Medical home, initial plan |
30 |
30 |
$4K |