| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0156 |
Hhcp-svs of aide,ea 15 min |
30,845 |
7,555 |
$54.98M |
| S5130 |
Homaker service nos per 15m |
127,724 |
25,517 |
$10.07M |
| T1019 |
Personal care ser per 15 min |
41,930 |
6,785 |
$9.35M |
| S5175 |
Laundry serv,ext,prof,/order |
106,057 |
29,184 |
$3.96M |
| S5170 |
Homedelivered prepared meal |
110,215 |
16,987 |
$2.82M |
| G0299 |
Hhs/hospice of rn ea 15 min |
20,183 |
6,434 |
$2.05M |
| S5135 |
Adult companioncare per 15m |
8,659 |
1,889 |
$993K |
| S5120 |
Chore services per 15 min |
7,151 |
1,893 |
$763K |
| S5161 |
Emer rspns sys serv permonth |
27,253 |
27,241 |
$713K |
| S5121 |
Chore services per diem |
23,785 |
7,118 |
$542K |
| A9279 |
Monitoring feature/devicenoc |
2,622 |
2,618 |
$114K |
| S5165 |
Home modifications per serv |
789 |
747 |
$88K |
| T2023 |
Targeted case mgmt per month |
732 |
710 |
$66K |
| S5125 |
Attendant care service /15m |
68 |
45 |
$34K |
| 96160 |
|
514 |
471 |
$30K |
| S5102 |
Adult day care per diem |
37 |
12 |
$8K |
| A0100 |
Nonemergency transport taxi |
18 |
18 |
$7K |
| A9901 |
Delivery/set up/dispensing |
398 |
397 |
$3K |
| T1023 |
Program intake assessment |
25 |
25 |
$3K |
| S5131 |
Homemaker service nos /diem |
30 |
30 |
$2K |
| G9001 |
Mccd, initial rate |
14 |
14 |
$1K |
| S5160 |
Emer response sys instal&tst |
14 |
14 |
$539.42 |
| G9002 |
Mccd,maintenance rate |
14 |
14 |
$7.00 |