| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5130 |
Homaker service nos per 15m |
11,982 |
1,543 |
$695K |
| T2022 |
Case management, per month |
12,987 |
12,982 |
$659K |
| S5170 |
Homedelivered prepared meal |
42,381 |
2,943 |
$447K |
| T1019 |
Personal care ser per 15 min |
10,705 |
740 |
$378K |
| S5161 |
Emer rspns sys serv permonth |
10,229 |
10,229 |
$267K |
| S5175 |
Laundry serv,ext,prof,/order |
6,628 |
1,782 |
$234K |
| 99456 |
|
835 |
835 |
$121K |
| T1023 |
Program intake assessment |
423 |
423 |
$44K |
| T1020 |
Personal care ser per diem |
21,813 |
743 |
$38K |
| A9901 |
Delivery/set up/dispensing |
13 |
13 |
$35.00 |
| 99339 |
|
16 |
16 |
$0.00 |