| Code | Description | Claims | Beneficiaries | Total Paid |
| T1019 |
Personal care ser per 15 min |
91,536 |
22,543 |
$52.04M |
| G0156 |
Hhcp-svs of aide,ea 15 min |
17,386 |
5,994 |
$43.26M |
| S5130 |
Homaker service nos per 15m |
124,255 |
29,207 |
$39.92M |
| S5102 |
Adult day care per diem |
34,980 |
5,148 |
$6.43M |
| S5170 |
Homedelivered prepared meal |
141,490 |
19,762 |
$4.04M |
| T2003 |
N-et; encounter/trip |
31,920 |
5,323 |
$3.21M |
| S5135 |
Adult companioncare per 15m |
5,664 |
1,390 |
$1.80M |
| S5175 |
Laundry serv,ext,prof,/order |
22,502 |
5,955 |
$973K |
| S5120 |
Chore services per 15 min |
5,851 |
1,795 |
$710K |
| S5161 |
Emer rspns sys serv permonth |
22,005 |
21,854 |
$543K |
| S5101 |
Adult day care per half day |
4,107 |
624 |
$281K |
| T1013 |
Sign lang/oral interpreter |
713 |
709 |
$115K |
| S5165 |
Home modifications per serv |
462 |
455 |
$86K |
| G0299 |
Hhs/hospice of rn ea 15 min |
855 |
550 |
$80K |
| H0046 |
Mental health service, nos |
2,440 |
1,263 |
$72K |
| G9001 |
Mccd, initial rate |
1,000 |
1,000 |
$65K |
| T1020 |
Personal care ser per diem |
1,303 |
1,267 |
$64K |
| S5121 |
Chore services per diem |
1,636 |
593 |
$49K |
| T1023 |
Program intake assessment |
317 |
316 |
$38K |
| A9279 |
Monitoring feature/devicenoc |
552 |
552 |
$22K |
| T2022 |
Case management, per month |
324 |
324 |
$19K |
| S5160 |
Emer response sys instal&tst |
122 |
122 |
$4K |
| 96160 |
|
12 |
12 |
$950.00 |
| G9002 |
Mccd,maintenance rate |
1,004 |
1,003 |
$750.94 |