| Code | Description | Claims | Beneficiaries | Total Paid |
| G0299 |
Hhs/hospice of rn ea 15 min |
58,869 |
4,717 |
$1.70M |
| S5131 |
Homemaker service nos /diem |
53,450 |
2,531 |
$1.46M |
| G0156 |
Hhcp-svs of aide,ea 15 min |
30,964 |
1,104 |
$1.36M |
| T1502 |
Medication admin visit |
19,164 |
994 |
$1.23M |
| S5130 |
Homaker service nos per 15m |
29,964 |
2,890 |
$667K |
| A0100 |
Nonemergency transport taxi |
12,356 |
1,920 |
$236K |
| S0215 |
Nonemerg transp mileage |
11,389 |
1,920 |
$187K |
| A0130 |
Noner transport wheelch van |
4,334 |
912 |
$118K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
3,360 |
589 |
$91K |
| S0209 |
Wc van mileage per mi |
3,676 |
912 |
$56K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
581 |
80 |
$3K |
| Q5001 |
Hospice or home hlth in home |
1,784 |
525 |
$0.02 |