| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
695,984 |
29,101 |
$61.89M |
| 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) |
337,475 |
13,772 |
$34.87M |
| T2022 |
Case management, per month |
34,615 |
34,610 |
$22.92M |
| T1000 |
Private duty / independent nursing service(s) - licensed, up to 15 minutes |
13,178 |
455 |
$8.62M |
| H2016 |
Comprehensive community support services, per diem |
50,712 |
2,144 |
$4.43M |
| S5170 |
Home delivered meals, including preparation; per meal |
300,206 |
12,368 |
$2.93M |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
21,330 |
1,028 |
$2.48M |
| A0130 |
Non-emergency transportation: wheelchair van |
8,821 |
1,976 |
$943K |
| S0215 |
Non-emergency transportation; mileage, per mile |
29,691 |
4,806 |
$641K |
| S5121 |
Chore services; per diem |
7,113 |
1,952 |
$573K |
| S0209 |
Wheelchair van, mileage, per mile |
8,682 |
1,951 |
$565K |
| S5100 |
Day care services, adult; per 15 minutes |
5,119 |
495 |
$517K |
| T2003 |
Non-emergency transportation; encounter/trip |
7,394 |
1,530 |
$466K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
12,480 |
12,480 |
$407K |
| T2025 |
Waiver services; not otherwise specified (nos) |
2,834 |
2,571 |
$373K |
| T5999 |
Supply, not otherwise specified |
59 |
47 |
$209K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
35,642 |
1,553 |
$154K |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
840 |
835 |
$43K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
972 |
155 |
$20K |
| T2024 |
Service assessment/plan of care development, waiver |
81 |
81 |
$16K |
| T2032 |
Residential care, not otherwise specified (nos), waiver; per month |
48 |
43 |
$10K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
241 |
149 |
$5K |