| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2003 |
Non-emergency transportation; encounter/trip |
132,112 |
95,854 |
$29.53M |
| S5120 |
Chore services; per 15 minutes |
19,724 |
9,477 |
$4.07M |
| S5165 |
Home modifications; per service |
205 |
189 |
$2.50M |
| S5121 |
Chore services; per diem |
219 |
96 |
$388K |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
320 |
262 |
$227K |
| T2038 |
Community transition, waiver; per service |
75 |
28 |
$71K |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
78 |
70 |
$70K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
25 |
24 |
$2K |