| Code | Description | Claims | Beneficiaries | Total Paid |
| G0156 |
Hhcp-svs of aide,ea 15 min |
73,709 |
13,721 |
$21.01M |
| S5130 |
Homaker service nos per 15m |
291,160 |
49,944 |
$19.77M |
| T1019 |
Personal care ser per 15 min |
144,678 |
19,189 |
$12.02M |
| S5170 |
Homedelivered prepared meal |
379,522 |
51,100 |
$9.44M |
| S5175 |
Laundry serv,ext,prof,/order |
161,147 |
41,816 |
$4.97M |
| S5102 |
Adult day care per diem |
16,000 |
2,517 |
$3.09M |
| T2022 |
Case management, per month |
57,108 |
51,114 |
$2.91M |
| T2003 |
N-et; encounter/trip |
28,266 |
5,064 |
$2.38M |
| S5100 |
Adult daycare services 15min |
13,629 |
2,333 |
$2.34M |
| S5161 |
Emer rspns sys serv permonth |
80,750 |
77,200 |
$1.81M |
| S5125 |
Attendant care service /15m |
3,974 |
500 |
$1.17M |
| S5135 |
Adult companioncare per 15m |
13,610 |
3,257 |
$966K |
| G0299 |
Hhs/hospice of rn ea 15 min |
6,554 |
2,991 |
$594K |
| T1020 |
Personal care ser per diem |
11,878 |
7,288 |
$398K |
| S5101 |
Adult day care per half day |
7,793 |
1,312 |
$387K |
| T2023 |
Targeted case mgmt per month |
1,938 |
1,876 |
$163K |
| A9279 |
Monitoring feature/devicenoc |
2,579 |
2,548 |
$96K |
| S5165 |
Home modifications per serv |
397 |
386 |
$82K |
| S5120 |
Chore services per 15 min |
513 |
281 |
$68K |
| T1023 |
Program intake assessment |
536 |
506 |
$52K |
| G9001 |
Mccd, initial rate |
626 |
626 |
$41K |
| S5160 |
Emer response sys instal&tst |
328 |
327 |
$12K |
| 96160 |
|
13 |
12 |
$880.00 |
| T1013 |
Sign lang/oral interpreter |
19 |
12 |
$455.13 |