| Code | Description | Claims | Beneficiaries | Total Paid |
| T1030 |
Rn home care per diem |
25,562 |
8,942 |
$2.30M |
| H0043 |
Supported housing, per diem |
13,630 |
428 |
$640K |
| T1021 |
Hh aide or cn aide per visit |
14,527 |
1,614 |
$416K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
3,889 |
1,229 |
$285K |
| G0152 |
Hhcp-serv of ot,ea 15 min |
1,847 |
659 |
$131K |
| S5130 |
Homaker service nos per 15m |
3,941 |
473 |
$123K |
| 97110 |
|
1,794 |
497 |
$119K |
| 97530 |
|
594 |
191 |
$46K |
| 90686 |
|
49 |
44 |
$742.47 |
| G0008 |
Admin influenza virus vac |
49 |
44 |
$124.72 |
| G0299 |
Hhs/hospice of rn ea 15 min |
82 |
28 |
$0.00 |
| Q5001 |
Hospice or home hlth in home |
17 |
17 |
$0.00 |