| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care service /15m |
96,276 |
6,811 |
$9.21M |
| S9110 |
Telemonitoring/home per mnth |
1,203 |
1,190 |
$319K |
| A0100 |
Nonemergency transport taxi |
3,541 |
413 |
$212K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
4,685 |
1,377 |
$0.00 |
| Q5001 |
Hospice or home hlth in home |
1,844 |
1,766 |
$0.00 |
| G0493 |
Rn care ea 15 min hh/hospice |
1,040 |
993 |
$0.00 |
| G0299 |
Hhs/hospice of rn ea 15 min |
44 |
12 |
$0.00 |
| G0151 |
Hhcp-serv of pt,ea 15 min |
221 |
179 |
$0.00 |
| 3HA11 |
|
50 |
50 |
$0.00 |
| G0494 |
Lpn care ea 15min hh/hospice |
378 |
120 |
$0.00 |
| G0157 |
Hhc pt assistant ea 15 |
162 |
39 |
$0.00 |