| 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 |
Homaker service nos per 15m |
7,844 |
803 |
$483K |
| T1023 |
Program intake assessment |
3,786 |
3,663 |
$418K |
| S5170 |
Homedelivered prepared meal |
7,191 |
1,445 |
$300K |
| T1019 |
Personal care ser per 15 min |
4,179 |
308 |
$222K |
| H0046 |
Mental health service, nos |
1,136 |
1,129 |
$46K |
| S5102 |
Adult day care per diem |
843 |
54 |
$40K |
| T2003 |
N-et; encounter/trip |
648 |
40 |
$37K |
| S5161 |
Emer rspns sys serv permonth |
607 |
607 |
$17K |
| S5175 |
Laundry serv,ext,prof,/order |
176 |
56 |
$8K |
| T1020 |
Personal care ser per diem |
4,036 |
140 |
$7K |