| Code | Description | Claims | Beneficiaries | Total Paid |
| S5130 |
Homaker service nos per 15m |
274,639 |
51,558 |
$26.82M |
| G0156 |
Hhcp-svs of aide,ea 15 min |
17,282 |
4,616 |
$21.71M |
| T1019 |
Personal care ser per 15 min |
140,356 |
24,077 |
$20.90M |
| S5170 |
Homedelivered prepared meal |
547,368 |
74,731 |
$17.97M |
| S5125 |
Attendant care service /15m |
6,214 |
1,509 |
$8.93M |
| S5102 |
Adult day care per diem |
26,915 |
4,679 |
$6.04M |
| S5140 |
Adult foster care per diem |
1,957 |
1,947 |
$4.82M |
| S5135 |
Adult companioncare per 15m |
15,490 |
3,571 |
$2.85M |
| T2003 |
N-et; encounter/trip |
18,345 |
3,536 |
$2.20M |
| S5175 |
Laundry serv,ext,prof,/order |
68,739 |
21,180 |
$2.09M |
| S5161 |
Emer rspns sys serv permonth |
56,561 |
56,086 |
$1.40M |
| S5165 |
Home modifications per serv |
6,746 |
6,329 |
$958K |
| T1016 |
Case management |
6,305 |
6,289 |
$680K |
| S5120 |
Chore services per 15 min |
2,266 |
714 |
$334K |
| T1020 |
Personal care ser per diem |
6,062 |
6,035 |
$311K |
| S5101 |
Adult day care per half day |
3,618 |
785 |
$264K |
| G0299 |
Hhs/hospice of rn ea 15 min |
2,108 |
1,220 |
$180K |
| S5121 |
Chore services per diem |
1,961 |
933 |
$62K |
| T2023 |
Targeted case mgmt per month |
368 |
365 |
$43K |
| S0250 |
Comp geriatr assmt team |
271 |
271 |
$23K |
| T2022 |
Case management, per month |
329 |
329 |
$17K |
| A9279 |
Monitoring feature/devicenoc |
186 |
186 |
$9K |
| S5160 |
Emer response sys instal&tst |
81 |
81 |
$3K |