| Code | Description | Claims | Beneficiaries | Total Paid |
| T2022 |
Case management, per month |
121,814 |
112,978 |
$6.32M |
| 99456 |
|
7,987 |
7,947 |
$1.32M |
| S5130 |
Homemaker service, nos; per 15 minutes |
7,844 |
803 |
$483K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
3,786 |
3,663 |
$418K |
| S5170 |
Home delivered meals, including preparation; per meal |
7,191 |
1,445 |
$300K |
| 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) |
4,179 |
308 |
$222K |
| H0046 |
Mental health services, not otherwise specified |
1,136 |
1,129 |
$46K |
| S5102 |
Day care services, adult; per diem |
843 |
54 |
$40K |
| T2003 |
Non-emergency transportation; encounter/trip |
648 |
40 |
$37K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
607 |
607 |
$17K |
| S5175 |
Laundry service, external, professional; per order |
176 |
56 |
$8K |
| T1020 |
Personal care services, per diem, 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) |
4,036 |
140 |
$7K |