| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
87,046 |
4,740 |
$10.41M |
| T1016 |
Case management, each 15 minutes |
15,428 |
7,768 |
$2.72M |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
3,067 |
2,526 |
$918K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
222 |
201 |
$5K |
| A4554 |
Disposable underpads, all sizes |
97 |
90 |
$3K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
69 |
68 |
$3K |
| 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 |
39 |
36 |
$3K |