| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0156 |
Hhcp-svs of aide,ea 15 min |
9,187 |
2,332 |
$13.46M |
| S5130 |
Homaker service nos per 15m |
131,341 |
20,082 |
$11.46M |
| T1019 |
Personal care ser per 15 min |
111,184 |
13,392 |
$8.89M |
| S5102 |
Adult day care per diem |
91,715 |
7,462 |
$7.28M |
| T2003 |
N-et; encounter/trip |
79,150 |
7,055 |
$3.44M |
| S5170 |
Homedelivered prepared meal |
120,535 |
11,525 |
$2.22M |
| S5135 |
Adult companioncare per 15m |
1,669 |
378 |
$588K |
| S5161 |
Emer rspns sys serv permonth |
22,530 |
22,445 |
$577K |
| S5175 |
Laundry serv,ext,prof,/order |
16,520 |
4,239 |
$441K |
| G0299 |
Hhs/hospice of rn ea 15 min |
2,670 |
912 |
$381K |
| S5101 |
Adult day care per half day |
7,988 |
1,290 |
$360K |
| T2022 |
Case management, per month |
3,015 |
3,002 |
$162K |
| T1013 |
Sign lang/oral interpreter |
908 |
421 |
$159K |
| T1020 |
Personal care ser per diem |
54,433 |
2,648 |
$144K |
| A9279 |
Monitoring feature/devicenoc |
1,127 |
1,126 |
$53K |
| S5120 |
Chore services per 15 min |
372 |
113 |
$39K |
| S5131 |
Homemaker service nos /diem |
41 |
39 |
$28K |
| A0100 |
Nonemergency transport taxi |
70 |
70 |
$27K |
| S5165 |
Home modifications per serv |
41 |
41 |
$5K |
| G9001 |
Mccd, initial rate |
74 |
74 |
$5K |
| 99340 |
|
200 |
200 |
$2K |
| A0425 |
Ground mileage |
60 |
12 |
$1K |
| 99339 |
|
40 |
40 |
$800.00 |
| G9002 |
Mccd,maintenance rate |
73 |
72 |
$87.00 |