| Code | Description | Claims | Beneficiaries | Total Paid |
| S5130 |
Homaker service nos per 15m |
227,990 |
43,451 |
$15.02M |
| T1019 |
Personal care ser per 15 min |
134,601 |
19,080 |
$11.08M |
| G0156 |
Hhcp-svs of aide,ea 15 min |
53,140 |
9,138 |
$8.12M |
| S5170 |
Homedelivered prepared meal |
195,379 |
37,646 |
$4.68M |
| S5175 |
Laundry serv,ext,prof,/order |
94,786 |
27,082 |
$2.78M |
| S5161 |
Emer rspns sys serv permonth |
80,687 |
80,084 |
$1.82M |
| S5102 |
Adult day care per diem |
5,673 |
955 |
$1.32M |
| T2022 |
Case management, per month |
23,554 |
23,507 |
$1.29M |
| T2003 |
N-et; encounter/trip |
14,345 |
2,588 |
$1.27M |
| S5100 |
Adult daycare services 15min |
8,234 |
1,391 |
$1.23M |
| S5125 |
Attendant care service /15m |
3,589 |
549 |
$583K |
| T1020 |
Personal care ser per diem |
7,234 |
7,134 |
$373K |
| S5135 |
Adult companioncare per 15m |
7,476 |
1,751 |
$364K |
| G0299 |
Hhs/hospice of rn ea 15 min |
3,475 |
1,764 |
$310K |
| A9279 |
Monitoring feature/devicenoc |
5,843 |
5,836 |
$197K |
| G9001 |
Mccd, initial rate |
2,130 |
2,126 |
$190K |
| S5165 |
Home modifications per serv |
605 |
591 |
$129K |
| T1016 |
Case management |
1,111 |
1,108 |
$42K |
| 96160 |
|
518 |
518 |
$39K |
| T1502 |
Medication admin visit |
342 |
96 |
$22K |
| T1023 |
Program intake assessment |
167 |
165 |
$17K |
| T2023 |
Targeted case mgmt per month |
124 |
124 |
$10K |
| H0046 |
Mental health service, nos |
401 |
377 |
$9K |
| S5120 |
Chore services per 15 min |
27 |
12 |
$4K |
| S5160 |
Emer response sys instal&tst |
97 |
97 |
$3K |
| G9002 |
Mccd,maintenance rate |
1,036 |
1,036 |
$735.40 |