| Code | Description | Claims | Beneficiaries | Total Paid |
| G0156 |
Hhcp-svs of aide,ea 15 min |
66,846 |
14,934 |
$51.66M |
| T1019 |
Personal care ser per 15 min |
205,772 |
34,013 |
$27.50M |
| S5130 |
Homaker service nos per 15m |
251,755 |
43,032 |
$23.12M |
| S5102 |
Adult day care per diem |
68,233 |
12,260 |
$14.91M |
| S5125 |
Attendant care service /15m |
17,168 |
3,479 |
$11.45M |
| S5135 |
Adult companioncare per 15m |
110,848 |
19,587 |
$7.66M |
| S5170 |
Homedelivered prepared meal |
296,247 |
47,062 |
$7.66M |
| T2003 |
N-et; encounter/trip |
61,686 |
11,921 |
$7.12M |
| T2022 |
Case management, per month |
107,964 |
102,656 |
$5.83M |
| S5161 |
Emer rspns sys serv permonth |
95,283 |
95,262 |
$2.44M |
| S5165 |
Home modifications per serv |
6,222 |
5,962 |
$1.30M |
| S5101 |
Adult day care per half day |
7,598 |
1,416 |
$583K |
| S5175 |
Laundry serv,ext,prof,/order |
15,531 |
4,781 |
$486K |
| T1020 |
Personal care ser per diem |
8,197 |
8,171 |
$423K |
| G0299 |
Hhs/hospice of rn ea 15 min |
3,845 |
2,254 |
$376K |
| T1023 |
Program intake assessment |
1,983 |
1,787 |
$232K |
| G9001 |
Mccd, initial rate |
1,999 |
1,994 |
$179K |
| S5120 |
Chore services per 15 min |
959 |
374 |
$159K |
| A9279 |
Monitoring feature/devicenoc |
1,866 |
1,866 |
$73K |
| A0425 |
Ground mileage |
1,738 |
599 |
$43K |
| S5160 |
Emer response sys instal&tst |
1,041 |
1,041 |
$37K |
| A0100 |
Nonemergency transport taxi |
69 |
69 |
$31K |
| 99456 |
|
240 |
212 |
$29K |
| S9122 |
Home health aide or certifie |
45 |
12 |
$24K |
| 96160 |
|
196 |
196 |
$17K |
| S5136 |
Adult companioncare per diem |
44 |
40 |
$11K |
| 90837 |
|
201 |
77 |
$5K |
| 99339 |
|
66 |
66 |
$2K |