| Code | Description | Claims | Beneficiaries | Total Paid |
| S5130 |
Homemaker service, nos; per 15 minutes |
11,982 |
1,543 |
$695K |
| T2022 |
Case management, per month |
12,987 |
12,982 |
$659K |
| S5170 |
Home delivered meals, including preparation; per meal |
42,381 |
2,943 |
$447K |
| 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) |
10,705 |
740 |
$378K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
10,229 |
10,229 |
$267K |
| S5175 |
Laundry service, external, professional; per order |
6,628 |
1,782 |
$234K |
| 99456 |
|
835 |
835 |
$121K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
423 |
423 |
$44K |
| T1020 |
Personal care services, per diem, 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) |
21,813 |
743 |
$38K |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
13 |
13 |
$35.00 |
| 99339 |
|
16 |
16 |
$0.00 |