| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5140 |
Adult foster care per diem |
31,782 |
4,398 |
$10.80M |
| S5130 |
Homaker service nos per 15m |
177,808 |
20,927 |
$9.75M |
| T1019 |
Personal care ser per 15 min |
149,643 |
9,825 |
$7.17M |
| S5170 |
Homedelivered prepared meal |
658,277 |
26,716 |
$6.70M |
| H0043 |
Supported housing, per diem |
3,532 |
1,173 |
$1.12M |
| S5175 |
Laundry serv,ext,prof,/order |
21,466 |
6,991 |
$686K |
| S5102 |
Adult day care per diem |
12,915 |
881 |
$668K |
| S5161 |
Emer rspns sys serv permonth |
24,429 |
24,425 |
$635K |
| T2003 |
N-et; encounter/trip |
10,275 |
752 |
$450K |
| T2022 |
Case management, per month |
5,959 |
5,953 |
$300K |
| G9001 |
Mccd, initial rate |
3,637 |
3,622 |
$257K |
| T1020 |
Personal care ser per diem |
123,165 |
4,158 |
$213K |
| S5101 |
Adult day care per half day |
2,368 |
176 |
$103K |
| 99456 |
|
278 |
278 |
$39K |
| S5135 |
Adult companioncare per 15m |
836 |
73 |
$36K |
| 96160 |
|
346 |
336 |
$17K |
| T1023 |
Program intake assessment |
150 |
150 |
$15K |
| T1022 |
Contracted services per day |
152 |
142 |
$8K |
| 99339 |
|
71 |
71 |
$4K |
| 99437 |
|
56 |
56 |
$2K |
| S5160 |
Emer response sys instal&tst |
13 |
13 |
$500.89 |
| 99491 |
Ccm add 20min |
12 |
12 |
$90.00 |