| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comp comm supp svc, 15 min |
697,146 |
26,470 |
$42.46M |
| T2022 |
Case management, per month |
32,450 |
32,425 |
$20.17M |
| T1019 |
Personal care ser per 15 min |
128,240 |
7,423 |
$8.76M |
| H2016 |
Comp comm supp svc, per diem |
101,947 |
3,590 |
$6.05M |
| T1000 |
Private duty/independent nsg |
7,703 |
303 |
$2.81M |
| S5170 |
Homedelivered prepared meal |
243,137 |
9,682 |
$2.19M |
| T2003 |
N-et; encounter/trip |
12,491 |
2,761 |
$703K |
| S0215 |
Nonemerg transp mileage |
30,924 |
5,839 |
$666K |
| S5100 |
Adult daycare services 15min |
6,980 |
631 |
$587K |
| S5161 |
Emer rspns sys serv permonth |
13,230 |
13,215 |
$410K |
| T1003 |
Lpn/lvn services up to 15min |
6,065 |
810 |
$351K |
| T2025 |
Waiver service, nos |
1,614 |
1,607 |
$134K |
| B4150 |
Ef complet w/intact nutrient |
26,810 |
1,259 |
$129K |
| S5121 |
Chore services per diem |
2,679 |
726 |
$125K |
| G0454 |
Md document visit by npp |
1,145 |
462 |
$85K |
| S9445 |
Pt education noc individ |
4,774 |
2,138 |
$70K |
| T2029 |
Special med equip, noswaiver |
958 |
946 |
$53K |
| T1002 |
Rn services up to 15 minutes |
1,375 |
140 |
$53K |
| E0245 |
Tub stool or bench |
13 |
13 |
$567.68 |