| Code | Description | Claims | Beneficiaries | Total Paid |
| S5130 |
Homaker service nos per 15m |
68,251 |
15,183 |
$26.15M |
| T1019 |
Personal care ser per 15 min |
119,324 |
8,183 |
$11.92M |
| T1005 |
Respite care service 15 min |
43,383 |
4,839 |
$1.75M |
| A0160 |
Noner transport case worker |
24,569 |
7,767 |
$429K |
| T1002 |
Rn services up to 15 minutes |
19,054 |
18,821 |
$316K |
| T1001 |
Nursing assessment/evaluatn |
1,926 |
1,894 |
$223K |
| S5161 |
Emer rspns sys serv permonth |
2,177 |
2,167 |
$107K |
| G2021 |
Hea care pract tx in place |
185 |
69 |
$94K |
| G9002 |
Mccd,maintenance rate |
869 |
866 |
$63K |
| 99509 |
|
75 |
51 |
$2K |
| T1028 |
Home environment assessment |
16 |
12 |
$980.21 |
| S5160 |
Emer response sys instal&tst |
15 |
15 |
$0.00 |