| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5130 |
Homaker service nos per 15m |
167,964 |
30,618 |
$15.57M |
| G0156 |
Hhcp-svs of aide,ea 15 min |
25,640 |
5,050 |
$13.07M |
| T1019 |
Personal care ser per 15 min |
126,885 |
14,982 |
$11.11M |
| S5102 |
Adult day care per diem |
46,459 |
6,323 |
$7.80M |
| T2003 |
N-et; encounter/trip |
42,275 |
6,036 |
$4.10M |
| S5170 |
Homedelivered prepared meal |
183,324 |
25,360 |
$3.92M |
| S5161 |
Emer rspns sys serv permonth |
69,029 |
68,173 |
$1.73M |
| S5175 |
Laundry serv,ext,prof,/order |
42,650 |
9,790 |
$1.26M |
| T1020 |
Personal care ser per diem |
94,546 |
10,924 |
$566K |
| S5101 |
Adult day care per half day |
3,645 |
683 |
$320K |
| S5135 |
Adult companioncare per 15m |
3,214 |
625 |
$307K |
| S5165 |
Home modifications per serv |
1,639 |
1,628 |
$235K |
| T1013 |
Sign lang/oral interpreter |
5,834 |
1,741 |
$190K |
| H0046 |
Mental health service, nos |
8,023 |
3,980 |
$127K |
| S0280 |
Medical home, initial plan |
817 |
744 |
$106K |
| T1023 |
Program intake assessment |
609 |
580 |
$64K |
| G0299 |
Hhs/hospice of rn ea 15 min |
594 |
378 |
$52K |
| G0175 |
Opps service,sched team conf |
601 |
361 |
$45K |
| S5160 |
Emer response sys instal&tst |
655 |
655 |
$24K |
| T2022 |
Case management, per month |
471 |
471 |
$24K |
| S5125 |
Attendant care service /15m |
237 |
13 |
$10K |
| A0100 |
Nonemergency transport taxi |
179 |
15 |
$7K |
| A9901 |
Delivery/set up/dispensing |
306 |
306 |
$3K |
| 99339 |
|
12 |
12 |
$640.00 |
| A9279 |
Monitoring feature/devicenoc |
12 |
12 |
$349.95 |