| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2022 |
Case management, per month |
46,388 |
46,376 |
$29.53M |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
3,900 |
3,659 |
$4.28M |
| S5121 |
Chore services; per diem |
2,509 |
2,365 |
$1.69M |
| S5170 |
Home delivered meals, including preparation; per meal |
2,207 |
2,133 |
$541K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
7,987 |
7,976 |
$202K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
951 |
702 |
$64K |
| T2038 |
Community transition, waiver; per service |
25 |
25 |
$12K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
12 |
12 |
$2K |
| S5199 |
Personal care item, nos, each |
12 |
12 |
$2K |