| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal care ser per 15 min |
119,863 |
11,798 |
$6.66M |
| S5130 |
Homaker service nos per 15m |
84,329 |
13,527 |
$6.12M |
| S5170 |
Homedelivered prepared meal |
329,057 |
15,381 |
$3.36M |
| S5102 |
Adult day care per diem |
40,691 |
2,521 |
$2.64M |
| T2003 |
N-et; encounter/trip |
39,330 |
2,509 |
$1.82M |
| S5175 |
Laundry serv,ext,prof,/order |
45,567 |
9,337 |
$1.16M |
| S5161 |
Emer rspns sys serv permonth |
30,581 |
30,578 |
$810K |
| T1020 |
Personal care ser per diem |
288,265 |
9,847 |
$516K |
| T2022 |
Case management, per month |
7,231 |
7,231 |
$423K |
| S5135 |
Adult companioncare per 15m |
3,631 |
541 |
$181K |
| S5101 |
Adult day care per half day |
2,985 |
320 |
$125K |
| S5165 |
Home modifications per serv |
727 |
721 |
$119K |
| 99339 |
|
539 |
537 |
$22K |
| S5120 |
Chore services per 15 min |
125 |
54 |
$14K |
| S5100 |
Adult daycare services 15min |
147 |
70 |
$7K |
| 99437 |
|
70 |
70 |
$2K |
| S5160 |
Emer response sys instal&tst |
13 |
13 |
$500.89 |