| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5130 |
Homaker service nos per 15m |
87,740 |
11,991 |
$4.94M |
| T1019 |
Personal care ser per 15 min |
61,178 |
4,043 |
$2.61M |
| S5170 |
Homedelivered prepared meal |
107,626 |
8,237 |
$1.45M |
| H0043 |
Supported housing, per diem |
4,640 |
513 |
$596K |
| S5102 |
Adult day care per diem |
5,943 |
582 |
$446K |
| S5135 |
Adult companioncare per 15m |
5,547 |
372 |
$201K |
| T2003 |
N-et; encounter/trip |
5,340 |
419 |
$181K |
| S5125 |
Attendant care service /15m |
307 |
307 |
$179K |
| S5161 |
Emer rspns sys serv permonth |
7,389 |
7,388 |
$176K |
| S5175 |
Laundry serv,ext,prof,/order |
3,450 |
1,503 |
$105K |
| S5136 |
Adult companioncare per diem |
137 |
136 |
$70K |
| A0100 |
Nonemergency transport taxi |
133 |
133 |
$62K |
| T1020 |
Personal care ser per diem |
7,428 |
318 |
$18K |
| T2022 |
Case management, per month |
110 |
110 |
$6K |
| 99339 |
|
190 |
189 |
$4K |
| T1013 |
Sign lang/oral interpreter |
12 |
12 |
$2K |
| S5160 |
Emer response sys instal&tst |
13 |
13 |
$500.89 |
| 99607 |
|
46 |
46 |
$168.75 |
| 99605 |
|
46 |
46 |
$67.50 |