| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal care ser per 15 min |
76,056 |
14,363 |
$16.41M |
| S5130 |
Homaker service nos per 15m |
103,659 |
17,837 |
$9.07M |
| G0156 |
Hhcp-svs of aide,ea 15 min |
6,009 |
1,857 |
$8.16M |
| S5135 |
Adult companioncare per 15m |
81,553 |
14,882 |
$5.66M |
| S5170 |
Homedelivered prepared meal |
81,077 |
11,886 |
$2.44M |
| S5140 |
Adult foster care per diem |
647 |
496 |
$1.34M |
| S5102 |
Adult day care per diem |
4,828 |
851 |
$1.16M |
| S5175 |
Laundry serv,ext,prof,/order |
21,345 |
5,276 |
$886K |
| T2003 |
N-et; encounter/trip |
8,206 |
2,169 |
$788K |
| S5125 |
Attendant care service /15m |
2,295 |
438 |
$761K |
| T2022 |
Case management, per month |
12,831 |
11,981 |
$758K |
| G0299 |
Hhs/hospice of rn ea 15 min |
2,417 |
1,473 |
$319K |
| S5161 |
Emer rspns sys serv permonth |
10,034 |
10,000 |
$296K |
| S5120 |
Chore services per 15 min |
1,036 |
297 |
$214K |
| S5165 |
Home modifications per serv |
760 |
730 |
$175K |
| A0425 |
Ground mileage |
3,434 |
1,477 |
$104K |
| T2025 |
Waiver service, nos |
213 |
90 |
$17K |
| A9279 |
Monitoring feature/devicenoc |
272 |
272 |
$10K |
| T1020 |
Personal care ser per diem |
95 |
93 |
$5K |
| T1023 |
Program intake assessment |
26 |
26 |
$3K |