| Code | Description | Claims | Beneficiaries | Total Paid |
| T2022 |
Case management, per month |
38,384 |
38,384 |
$19.97M |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
6,418 |
6,196 |
$6.94M |
| S5170 |
Home delivered meals, including preparation; per meal |
3,593 |
3,438 |
$799K |
| S5121 |
Chore services; per diem |
2,578 |
1,862 |
$692K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
10,246 |
10,244 |
$266K |
| S5165 |
Home modifications; per service |
19 |
17 |
$56K |
| S0215 |
Non-emergency transportation; mileage, per mile |
66 |
60 |
$41.97 |