| Code | Description | Claims | Beneficiaries | Total Paid |
| S5130 |
Homemaker service, nos; per 15 minutes |
195,779 |
19,512 |
$12.84M |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
191,679 |
12,366 |
$11.42M |
| S5102 |
Day care services, adult; per diem |
95,081 |
6,647 |
$4.74M |
| T2003 |
Non-emergency transportation; encounter/trip |
86,436 |
6,068 |
$3.99M |
| S5170 |
Home delivered meals, including preparation; per meal |
254,405 |
12,045 |
$3.21M |
| S5175 |
Laundry service, external, professional; per order |
17,812 |
4,617 |
$876K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
22,228 |
22,228 |
$556K |
| S5140 |
Foster care, adult; per diem |
226 |
175 |
$364K |
| S5101 |
Day care services, adult; per half day |
7,852 |
786 |
$323K |
| T1020 |
Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
92,099 |
3,415 |
$179K |
| T2022 |
Case management, per month |
1,069 |
1,069 |
$60K |
| S5135 |
Companion care, adult (e.g., iadl/adl); per 15 minutes |
768 |
83 |
$42K |
| S5120 |
Chore services; per 15 minutes |
17 |
15 |
$3K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
12 |
12 |
$2K |
| 99437 |
|
14 |
14 |
$1K |