| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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) |
1,733,537 |
68,029 |
$123.79M |
| T2022 |
Case management, per month |
101,850 |
101,849 |
$35.84M |
| H2015 |
Comprehensive community support services, per 15 minutes |
91,026 |
4,409 |
$4.73M |
| S5170 |
Home delivered meals, including preparation; per meal |
552,324 |
24,612 |
$4.73M |
| S5121 |
Chore services; per diem |
37,441 |
11,717 |
$3.42M |
| T2003 |
Non-emergency transportation; encounter/trip |
35,709 |
4,865 |
$1.97M |
| S5165 |
Home modifications; per service |
564 |
508 |
$1.90M |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
26,580 |
26,491 |
$655K |
| T2024 |
Service assessment/plan of care development, waiver |
1,628 |
1,615 |
$354K |
| G9012 |
Other specified case management service not elsewhere classified |
723 |
282 |
$88K |
| E0245 |
Tub stool or bench |
1,055 |
1,055 |
$75K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
224 |
224 |
$46K |
| E0241 |
Bath tub wall rail, each |
172 |
172 |
$20K |
| S5199 |
Personal care item, nos, each |
417 |
401 |
$12K |
| E0244 |
Raised toilet seat |
151 |
151 |
$9K |
| S5160 |
Emergency response system; installation and testing |
197 |
196 |
$5K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
13 |
13 |
$956.00 |
| A4335 |
Incontinence supply; miscellaneous |
12 |
12 |
$890.00 |