| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0156 |
Hhcp-svs of aide,ea 15 min |
77,887 |
14,600 |
$26.32M |
| S5125 |
Attendant care service /15m |
25,374 |
4,095 |
$26.13M |
| S5102 |
Adult day care per diem |
92,306 |
16,151 |
$19.45M |
| S5130 |
Homaker service nos per 15m |
226,517 |
39,268 |
$19.36M |
| T1019 |
Personal care ser per 15 min |
95,491 |
13,078 |
$11.63M |
| T2003 |
N-et; encounter/trip |
84,841 |
15,197 |
$9.51M |
| S5170 |
Homedelivered prepared meal |
222,488 |
36,630 |
$5.45M |
| S5140 |
Adult foster care per diem |
2,636 |
1,971 |
$4.19M |
| T2022 |
Case management, per month |
50,778 |
50,676 |
$2.61M |
| S5161 |
Emer rspns sys serv permonth |
94,913 |
94,515 |
$2.38M |
| S5175 |
Laundry serv,ext,prof,/order |
71,273 |
19,008 |
$2.35M |
| T1016 |
Case management |
25,222 |
22,649 |
$1.72M |
| S5101 |
Adult day care per half day |
19,722 |
4,192 |
$1.47M |
| S5135 |
Adult companioncare per 15m |
17,077 |
3,996 |
$1.35M |
| S5121 |
Chore services per diem |
17,711 |
4,761 |
$714K |
| S5100 |
Adult daycare services 15min |
8,806 |
3,952 |
$591K |
| H0046 |
Mental health service, nos |
7,654 |
7,241 |
$577K |
| T1020 |
Personal care ser per diem |
7,129 |
6,976 |
$373K |
| G0299 |
Hhs/hospice of rn ea 15 min |
4,415 |
2,402 |
$366K |
| T1023 |
Program intake assessment |
2,085 |
2,068 |
$209K |
| S5165 |
Home modifications per serv |
815 |
801 |
$202K |
| T2024 |
Serv asmnt/care plan waiver |
2,087 |
2,047 |
$159K |
| G0175 |
Opps service,sched team conf |
1,594 |
1,536 |
$132K |
| A9279 |
Monitoring feature/devicenoc |
2,890 |
2,861 |
$109K |
| S5120 |
Chore services per 15 min |
292 |
158 |
$80K |
| G9001 |
Mccd, initial rate |
1,160 |
1,158 |
$79K |
| A9901 |
Delivery/set up/dispensing |
4,746 |
4,719 |
$74K |
| S0280 |
Medical home, initial plan |
387 |
359 |
$47K |
| A0100 |
Nonemergency transport taxi |
60 |
59 |
$24K |
| S5160 |
Emer response sys instal&tst |
390 |
390 |
$13K |
| S0250 |
Comp geriatr assmt team |
76 |
75 |
$12K |
| T1013 |
Sign lang/oral interpreter |
36 |
24 |
$8K |
| 96160 |
|
77 |
77 |
$7K |
| A0425 |
Ground mileage |
172 |
60 |
$5K |
| 99199 |
|
112 |
112 |
$3K |
| G9002 |
Mccd,maintenance rate |
1,177 |
1,177 |
$1K |
| T1999 |
Noc retail items andsupplies |
20 |
20 |
$620.00 |
| G0447 |
Behavior counsel obesity 15m |
39 |
38 |
$0.00 |