| Code | Description | Claims | Beneficiaries | Total Paid |
| G0156 |
Hhcp-svs of aide,ea 15 min |
39,505 |
8,020 |
$25.94M |
| S5130 |
Homaker service nos per 15m |
160,888 |
26,025 |
$18.63M |
| S5102 |
Adult day care per diem |
125,562 |
9,056 |
$7.79M |
| T2003 |
N-et; encounter/trip |
136,987 |
10,133 |
$6.13M |
| T1019 |
Personal care ser per 15 min |
58,952 |
6,438 |
$6.03M |
| S5135 |
Adult companioncare per 15m |
18,408 |
2,655 |
$3.41M |
| S5170 |
Homedelivered prepared meal |
111,492 |
12,414 |
$1.68M |
| S5100 |
Adult daycare services 15min |
22,889 |
1,597 |
$1.40M |
| S5161 |
Emer rspns sys serv permonth |
30,038 |
30,027 |
$752K |
| S5101 |
Adult day care per half day |
17,076 |
1,846 |
$680K |
| S5175 |
Laundry serv,ext,prof,/order |
24,167 |
5,162 |
$513K |
| S5165 |
Home modifications per serv |
2,272 |
2,020 |
$426K |
| G0299 |
Hhs/hospice of rn ea 15 min |
3,415 |
1,513 |
$299K |
| S5120 |
Chore services per 15 min |
1,308 |
484 |
$151K |
| S5121 |
Chore services per diem |
1,259 |
316 |
$38K |
| T1020 |
Personal care ser per diem |
13,073 |
493 |
$24K |
| 99199 |
|
150 |
149 |
$24K |
| H0046 |
Mental health service, nos |
480 |
471 |
$21K |
| S9122 |
Home health aide or certifie |
43 |
17 |
$19K |
| A0100 |
Nonemergency transport taxi |
43 |
42 |
$17K |
| T1023 |
Program intake assessment |
25 |
25 |
$3K |
| A9279 |
Monitoring feature/devicenoc |
60 |
60 |
$3K |
| S5160 |
Emer response sys instal&tst |
31 |
31 |
$809.13 |