| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management, each 15 minutes |
81,694 |
18,342 |
$5.30M |
| T1017 |
Targeted case management, each 15 minutes |
6,722 |
4,830 |
$338K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
611 |
533 |
$80K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
324 |
257 |
$61K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
139 |
115 |
$19K |
| E0700 |
Safety equipment, device or accessory, any type |
13 |
13 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
18 |
$0.00 |