| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0043 |
Supported housing, per diem |
7,817 |
4,249 |
$4.67M |
| S5140 |
Adult foster care per diem |
25,260 |
1,471 |
$3.25M |
| T2023 |
Targeted case mgmt per month |
3,929 |
3,923 |
$387K |
| S5130 |
Homaker service nos per 15m |
4,449 |
981 |
$335K |
| S5102 |
Adult day care per diem |
854 |
174 |
$170K |
| T1019 |
Personal care ser per 15 min |
1,335 |
219 |
$165K |
| H0046 |
Mental health service, nos |
3,618 |
3,141 |
$134K |
| S5170 |
Homedelivered prepared meal |
3,377 |
756 |
$126K |
| T2024 |
Serv asmnt/care plan waiver |
577 |
577 |
$92K |
| T1023 |
Program intake assessment |
661 |
611 |
$69K |
| T2003 |
N-et; encounter/trip |
490 |
81 |
$47K |
| S5125 |
Attendant care service /15m |
55 |
48 |
$36K |
| S5161 |
Emer rspns sys serv permonth |
1,120 |
1,120 |
$27K |
| S5175 |
Laundry serv,ext,prof,/order |
550 |
231 |
$16K |
| A0100 |
Nonemergency transport taxi |
25 |
25 |
$11K |