| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5130 |
Homaker service nos per 15m |
223,405 |
41,208 |
$15.75M |
| S5131 |
Homemaker service nos /diem |
153,279 |
11,824 |
$9.23M |
| S5135 |
Adult companioncare per 15m |
62,310 |
14,079 |
$4.29M |
| S5175 |
Laundry serv,ext,prof,/order |
87,030 |
31,425 |
$3.34M |
| G0156 |
Hhcp-svs of aide,ea 15 min |
24,247 |
1,756 |
$904K |
| S5121 |
Chore services per diem |
3,142 |
1,954 |
$297K |
| S0215 |
Nonemerg transp mileage |
27,783 |
9,926 |
$186K |
| T1019 |
Personal care ser per 15 min |
570 |
86 |
$46K |
| T1004 |
Nsg aide service up to 15min |
58 |
36 |
$20K |
| S5120 |
Chore services per 15 min |
96 |
37 |
$7K |
| G0299 |
Hhs/hospice of rn ea 15 min |
360 |
99 |
$7K |