| Code | Description | Claims | Beneficiaries | Total Paid |
| S5130 |
Homaker service nos per 15m |
164,919 |
30,827 |
$13.92M |
| T1019 |
Personal care ser per 15 min |
124,975 |
17,622 |
$7.62M |
| S5102 |
Adult day care per diem |
36,270 |
5,740 |
$6.48M |
| S5170 |
Homedelivered prepared meal |
136,451 |
25,256 |
$4.56M |
| G0156 |
Hhcp-svs of aide,ea 15 min |
15,067 |
2,773 |
$3.93M |
| T2022 |
Case management, per month |
60,463 |
57,175 |
$3.23M |
| T2003 |
N-et; encounter/trip |
43,525 |
8,243 |
$3.10M |
| S5161 |
Emer rspns sys serv permonth |
91,663 |
91,394 |
$2.23M |
| S5120 |
Chore services per 15 min |
10,746 |
4,239 |
$603K |
| G0299 |
Hhs/hospice of rn ea 15 min |
7,745 |
2,410 |
$600K |
| G9001 |
Mccd, initial rate |
5,129 |
5,093 |
$512K |
| T1020 |
Personal care ser per diem |
8,319 |
8,211 |
$442K |
| S5101 |
Adult day care per half day |
5,064 |
690 |
$258K |
| T1023 |
Program intake assessment |
1,439 |
1,243 |
$155K |
| A9279 |
Monitoring feature/devicenoc |
5,782 |
5,777 |
$147K |
| S5100 |
Adult daycare services 15min |
1,876 |
830 |
$127K |
| S5165 |
Home modifications per serv |
889 |
876 |
$118K |
| S5135 |
Adult companioncare per 15m |
1,931 |
347 |
$98K |
| T1001 |
Nursing assessment/evaluatn |
981 |
876 |
$96K |
| H0046 |
Mental health service, nos |
3,814 |
3,676 |
$92K |
| 96160 |
|
1,154 |
1,154 |
$67K |
| 99456 |
|
350 |
237 |
$25K |
| S5160 |
Emer response sys instal&tst |
626 |
623 |
$19K |
| T1013 |
Sign lang/oral interpreter |
895 |
661 |
$16K |
| S0280 |
Medical home, initial plan |
47 |
47 |
$6K |
| G9002 |
Mccd,maintenance rate |
162 |
162 |
$354.20 |