| Code | Description | Claims | Beneficiaries | Total Paid |
| S5170 |
Home delivered meals, including preparation; per meal |
1,039,567 |
140,363 |
$21.69M |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
112,735 |
53,668 |
$17.03M |
| G9012 |
Other specified case management service not elsewhere classified |
103,724 |
58,217 |
$16.23M |
| H0043 |
Supported housing, per diem |
12,507 |
10,489 |
$4.56M |
| H2016 |
Comprehensive community support services, per diem |
12,700 |
4,498 |
$636K |
| T2040 |
Financial management, self-directed, waiver; per 15 minutes |
769 |
769 |
$365K |
| 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) |
1,848 |
190 |
$358K |
| S5130 |
Homemaker service, nos; per 15 minutes |
877 |
153 |
$196K |
| S9125 |
Respite care, in the home, per diem |
810 |
153 |
$63K |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
309 |
141 |
$50K |
| 97802 |
|
1,206 |
744 |
$48K |
| T2038 |
Community transition, waiver; per service |
63 |
63 |
$31K |
| 97803 |
|
745 |
598 |
$25K |
| 98960 |
|
441 |
440 |
$9K |