| Code | Description | Claims | Beneficiaries | Total Paid |
| G0156 |
Hhcp-svs of aide,ea 15 min |
9,966 |
2,357 |
$8.45M |
| S5130 |
Homaker service nos per 15m |
15,978 |
2,734 |
$1.17M |
| S5125 |
Attendant care service /15m |
1,500 |
354 |
$1.11M |
| T1019 |
Personal care ser per 15 min |
11,864 |
1,473 |
$1.02M |
| S5170 |
Homedelivered prepared meal |
14,505 |
2,073 |
$327K |
| G0299 |
Hhs/hospice of rn ea 15 min |
1,356 |
783 |
$115K |
| S5135 |
Adult companioncare per 15m |
2,339 |
466 |
$105K |
| T2003 |
N-et; encounter/trip |
1,734 |
469 |
$92K |
| S5165 |
Home modifications per serv |
471 |
439 |
$63K |
| S5102 |
Adult day care per diem |
635 |
67 |
$54K |
| S5175 |
Laundry serv,ext,prof,/order |
1,794 |
521 |
$52K |
| S5161 |
Emer rspns sys serv permonth |
1,788 |
1,772 |
$49K |
| S5120 |
Chore services per 15 min |
247 |
110 |
$24K |
| A9279 |
Monitoring feature/devicenoc |
449 |
449 |
$22K |
| T1020 |
Personal care ser per diem |
3,443 |
335 |
$19K |
| A0425 |
Ground mileage |
509 |
295 |
$4K |