| Code | Description | Claims | Beneficiaries | Total Paid |
| G0156 |
Hhcp-svs of aide,ea 15 min |
15,349 |
2,994 |
$8.21M |
| S5125 |
Attendant care service /15m |
5,114 |
1,108 |
$3.71M |
| T1019 |
Personal care ser per 15 min |
16,621 |
2,642 |
$2.55M |
| S5170 |
Homedelivered prepared meal |
52,713 |
7,924 |
$1.24M |
| S5130 |
Homaker service nos per 15m |
12,703 |
2,503 |
$1.21M |
| G0299 |
Hhs/hospice of rn ea 15 min |
10,545 |
5,200 |
$787K |
| T2022 |
Case management, per month |
10,173 |
10,089 |
$580K |
| T2003 |
N-et; encounter/trip |
1,499 |
370 |
$126K |
| S5161 |
Emer rspns sys serv permonth |
4,377 |
4,375 |
$96K |
| A9279 |
Monitoring feature/devicenoc |
1,749 |
1,749 |
$77K |
| S5165 |
Home modifications per serv |
149 |
145 |
$48K |
| S5175 |
Laundry serv,ext,prof,/order |
2,135 |
575 |
$44K |
| A0425 |
Ground mileage |
97 |
30 |
$2K |