| Code | Description | Claims | Beneficiaries | Total Paid |
| S5170 |
Home delivered meals, including preparation; per meal |
117,987 |
5,331 |
$4.24M |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
18,180 |
977 |
$2.20M |
| G9012 |
Other specified case management service not elsewhere classified |
33,403 |
15,638 |
$391K |
| S5130 |
Homemaker service, nos; per 15 minutes |
3,079 |
423 |
$235K |
| H0043 |
Supported housing, per diem |
3,837 |
1,426 |
$211K |
| S9470 |
Nutritional counseling, dietitian visit |
1,080 |
1,072 |
$50K |
| S9125 |
Respite care, in the home, per diem |
1,261 |
181 |
$47K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
11,523 |
4,899 |
$20K |