| Code | Description | Claims | Beneficiaries | Total Paid |
| G0156 |
Hhcp-svs of aide,ea 15 min |
8,335 |
3,585 |
$36.47M |
| T1019 |
Personal care ser per 15 min |
32,885 |
7,146 |
$30.64M |
| S5140 |
Adult foster care per diem |
5,323 |
4,047 |
$9.83M |
| S5130 |
Homaker service nos per 15m |
50,424 |
9,364 |
$6.75M |
| S5170 |
Homedelivered prepared meal |
92,414 |
16,734 |
$3.45M |
| S5135 |
Adult companioncare per 15m |
9,707 |
1,632 |
$1.23M |
| S5120 |
Chore services per 15 min |
3,200 |
1,036 |
$438K |
| T2003 |
N-et; encounter/trip |
6,778 |
1,925 |
$361K |
| S5175 |
Laundry serv,ext,prof,/order |
11,380 |
2,505 |
$289K |
| S5161 |
Emer rspns sys serv permonth |
8,568 |
8,566 |
$208K |
| S5165 |
Home modifications per serv |
1,108 |
1,073 |
$206K |
| G0299 |
Hhs/hospice of rn ea 15 min |
1,162 |
416 |
$104K |
| H0046 |
Mental health service, nos |
2,759 |
1,356 |
$47K |
| S5125 |
Attendant care service /15m |
26 |
12 |
$44K |
| S0280 |
Medical home, initial plan |
301 |
272 |
$40K |
| S5121 |
Chore services per diem |
998 |
381 |
$37K |
| G9001 |
Mccd, initial rate |
507 |
507 |
$30K |
| T1020 |
Personal care ser per diem |
38 |
38 |
$2K |
| G9002 |
Mccd,maintenance rate |
507 |
507 |
$385.24 |