| Code | Description | Claims | Beneficiaries | Total Paid |
| 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) |
408,711 |
18,278 |
$30.19M |
| T2022 |
Case management, per month |
45,753 |
45,753 |
$20.59M |
| S5170 |
Home delivered meals, including preparation; per meal |
179,050 |
7,877 |
$1.59M |
| H2015 |
Comprehensive community support services, per 15 minutes |
27,944 |
1,422 |
$1.27M |
| S5121 |
Chore services; per diem |
11,646 |
3,100 |
$719K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
7,318 |
7,296 |
$189K |
| T2003 |
Non-emergency transportation; encounter/trip |
2,148 |
577 |
$102K |
| T2024 |
Service assessment/plan of care development, waiver |
595 |
595 |
$88K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
55 |
55 |
$2K |
| E0245 |
Tub stool or bench |
37 |
37 |
$2K |
| E0244 |
Raised toilet seat |
24 |
24 |
$1K |
| S5199 |
Personal care item, nos, each |
60 |
54 |
$941.58 |
| E0315 |
Bed accessory: board, table, or support device, any type |
12 |
12 |
$884.61 |