| Code | Description | Claims | Beneficiaries | Total Paid |
| S5130 |
Homaker service nos per 15m |
103,607 |
20,283 |
$19.90M |
| G0156 |
Hhcp-svs of aide,ea 15 min |
36,105 |
8,918 |
$17.19M |
| S5135 |
Adult companioncare per 15m |
24,111 |
6,348 |
$8.07M |
| S5125 |
Attendant care service /15m |
3,275 |
829 |
$3.39M |
| T2022 |
Case management, per month |
58,854 |
58,261 |
$3.32M |
| T1019 |
Personal care ser per 15 min |
18,050 |
3,448 |
$3.29M |
| S5170 |
Homedelivered prepared meal |
127,137 |
16,600 |
$3.22M |
| S5102 |
Adult day care per diem |
11,463 |
1,761 |
$2.08M |
| T2023 |
Targeted case mgmt per month |
16,153 |
16,149 |
$1.47M |
| T2003 |
N-et; encounter/trip |
11,644 |
2,052 |
$1.19M |
| S5175 |
Laundry serv,ext,prof,/order |
27,115 |
8,383 |
$852K |
| S5120 |
Chore services per 15 min |
4,477 |
1,405 |
$513K |
| S5161 |
Emer rspns sys serv permonth |
19,140 |
19,008 |
$487K |
| G0299 |
Hhs/hospice of rn ea 15 min |
2,174 |
1,782 |
$232K |
| G9001 |
Mccd, initial rate |
2,291 |
2,281 |
$159K |
| S5165 |
Home modifications per serv |
662 |
645 |
$120K |
| T1016 |
Case management |
683 |
681 |
$64K |
| T1020 |
Personal care ser per diem |
637 |
629 |
$33K |
| 99456 |
|
277 |
265 |
$28K |
| S5121 |
Chore services per diem |
640 |
260 |
$22K |
| S5101 |
Adult day care per half day |
288 |
73 |
$15K |
| A9279 |
Monitoring feature/devicenoc |
542 |
541 |
$15K |
| 96160 |
|
112 |
112 |
$6K |
| H0046 |
Mental health service, nos |
12 |
12 |
$522.00 |
| S5160 |
Emer response sys instal&tst |
12 |
12 |
$508.56 |