| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5130 |
Homemaker service, nos; per 15 minutes |
12,788 |
1,777 |
$762K |
| S5140 |
Foster care, adult; per diem |
448 |
155 |
$353K |
| S5170 |
Home delivered meals, including preparation; per meal |
16,358 |
1,078 |
$230K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
1,841 |
1,840 |
$44K |
| 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) |
437 |
24 |
$17K |
| S5175 |
Laundry service, external, professional; per order |
764 |
169 |
$15K |
| S5120 |
Chore services; per 15 minutes |
23 |
13 |
$3K |
| T2003 |
Non-emergency transportation; encounter/trip |
21 |
12 |
$599.00 |