| Code | Description | Claims | Beneficiaries | Total Paid |
| S5130 |
Homemaker service, nos; per 15 minutes |
87,740 |
11,991 |
$4.94M |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
61,178 |
4,043 |
$2.61M |
| S5170 |
Home delivered meals, including preparation; per meal |
107,626 |
8,237 |
$1.45M |
| H0043 |
Supported housing, per diem |
4,640 |
513 |
$596K |
| S5102 |
Day care services, adult; per diem |
5,943 |
582 |
$446K |
| S5135 |
Companion care, adult (e.g., iadl/adl); per 15 minutes |
5,547 |
372 |
$201K |
| T2003 |
Non-emergency transportation; encounter/trip |
5,340 |
419 |
$181K |
| S5125 |
Attendant care services; per 15 minutes |
307 |
307 |
$179K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
7,389 |
7,388 |
$176K |
| S5175 |
Laundry service, external, professional; per order |
3,450 |
1,503 |
$105K |
| S5136 |
Companion care, adult (e.g., iadl/adl); per diem |
137 |
136 |
$70K |
| A0100 |
Non-emergency transportation; taxi |
133 |
133 |
$62K |
| T1020 |
Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
7,428 |
318 |
$18K |
| T2022 |
Case management, per month |
110 |
110 |
$6K |
| 99339 |
|
190 |
189 |
$4K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
12 |
12 |
$2K |
| S5160 |
Emergency response system; installation and testing |
13 |
13 |
$500.89 |
| 99607 |
|
46 |
46 |
$168.75 |
| 99605 |
|
46 |
46 |
$67.50 |