| Code | Description | Claims | Beneficiaries | Total Paid |
| S5130 |
Homaker service nos per 15m |
539,635 |
43,491 |
$30.00M |
| T1019 |
Personal care ser per 15 min |
600,350 |
42,216 |
$28.16M |
| S5135 |
Adult companioncare per 15m |
324,190 |
31,238 |
$10.87M |
| T2022 |
Case management, per month |
71,655 |
71,098 |
$4.03M |
| S5102 |
Adult day care per diem |
67,265 |
4,649 |
$3.72M |
| S5161 |
Emer rspns sys serv permonth |
88,052 |
88,047 |
$2.34M |
| S5170 |
Homedelivered prepared meal |
241,452 |
12,648 |
$2.27M |
| T2003 |
N-et; encounter/trip |
50,309 |
3,643 |
$2.10M |
| T1020 |
Personal care ser per diem |
777,617 |
27,255 |
$1.45M |
| S5165 |
Home modifications per serv |
3,962 |
3,954 |
$726K |
| T1023 |
Program intake assessment |
1,560 |
1,371 |
$186K |
| S5101 |
Adult day care per half day |
4,229 |
524 |
$169K |
| S5175 |
Laundry serv,ext,prof,/order |
5,282 |
1,824 |
$159K |
| 99339 |
|
1,676 |
1,676 |
$75K |
| S5160 |
Emer response sys instal&tst |
644 |
644 |
$25K |
| T1028 |
Home environment assessment |
55 |
55 |
$15K |
| 99509 |
|
232 |
43 |
$12K |
| A0425 |
Ground mileage |
52 |
18 |
$0.00 |