| Code | Description | Claims | Beneficiaries | Total Paid |
| T2022 |
Case management, per month |
58,358 |
53,678 |
$2.99M |
| T1019 |
Personal care ser per 15 min |
60,216 |
5,086 |
$2.47M |
| S5130 |
Homaker service nos per 15m |
22,466 |
3,616 |
$1.48M |
| S5102 |
Adult day care per diem |
15,966 |
1,279 |
$1.06M |
| 99456 |
|
4,345 |
4,340 |
$748K |
| S5161 |
Emer rspns sys serv permonth |
28,307 |
28,307 |
$712K |
| S5170 |
Homedelivered prepared meal |
52,442 |
3,937 |
$621K |
| T2003 |
N-et; encounter/trip |
14,118 |
1,162 |
$500K |
| T1020 |
Personal care ser per diem |
136,230 |
5,292 |
$284K |
| T1023 |
Program intake assessment |
1,542 |
1,479 |
$174K |
| S5101 |
Adult day care per half day |
1,507 |
205 |
$63K |
| A9279 |
Monitoring feature/devicenoc |
488 |
488 |
$24K |
| S5100 |
Adult daycare services 15min |
247 |
169 |
$14K |
| 99339 |
|
41 |
41 |
$1K |