| Code | Description | Claims | Beneficiaries | Total Paid |
| S5130 |
Homaker service nos per 15m |
141,759 |
25,653 |
$12.30M |
| T1019 |
Personal care ser per 15 min |
84,356 |
13,055 |
$6.13M |
| S5102 |
Adult day care per diem |
11,424 |
2,086 |
$2.37M |
| G0156 |
Hhcp-svs of aide,ea 15 min |
9,364 |
1,849 |
$1.96M |
| S5170 |
Homedelivered prepared meal |
69,450 |
14,199 |
$1.84M |
| T2003 |
N-et; encounter/trip |
10,459 |
2,972 |
$1.52M |
| G0299 |
Hhs/hospice of rn ea 15 min |
18,034 |
7,065 |
$1.16M |
| S5161 |
Emer rspns sys serv permonth |
35,715 |
35,499 |
$828K |
| S5120 |
Chore services per 15 min |
7,345 |
2,359 |
$496K |
| T2022 |
Case management, per month |
5,712 |
5,676 |
$300K |
| T1020 |
Personal care ser per diem |
2,873 |
2,823 |
$157K |
| S5125 |
Attendant care service /15m |
635 |
104 |
$91K |
| A9279 |
Monitoring feature/devicenoc |
2,787 |
2,784 |
$83K |
| S5101 |
Adult day care per half day |
899 |
228 |
$47K |
| T1013 |
Sign lang/oral interpreter |
1,467 |
1,074 |
$42K |
| S5165 |
Home modifications per serv |
64 |
64 |
$19K |
| T1023 |
Program intake assessment |
139 |
134 |
$14K |
| G9001 |
Mccd, initial rate |
176 |
172 |
$12K |
| 96160 |
|
79 |
76 |
$3K |
| S5160 |
Emer response sys instal&tst |
25 |
25 |
$886.19 |
| G9002 |
Mccd,maintenance rate |
249 |
247 |
$871.50 |