| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal care ser per 15 min |
2,505,625 |
469,294 |
$430.62M |
| S5130 |
Homaker service nos per 15m |
2,788,999 |
287,678 |
$86.74M |
| S5170 |
Homedelivered prepared meal |
1,936,772 |
316,496 |
$65.37M |
| S5150 |
Unskilled respite care /15m |
291,929 |
28,256 |
$16.69M |
| T1016 |
Case management |
2,997,510 |
707,066 |
$15.78M |
| T1005 |
Respite care service 15 min |
61,316 |
6,955 |
$8.49M |
| S5135 |
Adult companioncare per 15m |
124,651 |
17,257 |
$4.86M |
| T2028 |
Special supply, nos waiver |
10,423 |
9,546 |
$1.11M |
| S5102 |
Adult day care per diem |
3,278 |
2,398 |
$1.06M |
| T1001 |
Nursing assessment/evaluatn |
37,861 |
24,371 |
$603K |
| S5161 |
Emer rspns sys serv permonth |
5,192 |
4,835 |
$140K |
| S5165 |
Home modifications per serv |
28 |
28 |
$90K |
| T2029 |
Special med equip, noswaiver |
134 |
129 |
$34K |
| S5121 |
Chore services per diem |
12 |
12 |
$9K |
| S5160 |
Emer response sys instal&tst |
14 |
12 |
$310.93 |