| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
31,956 |
10,497 |
$3.26M |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
6,217 |
2,950 |
$980K |
| 99199 |
Unlisted special service, procedure or report |
102,050 |
99,618 |
$490K |
| 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 |
472 |
430 |
$36K |
| A4554 |
Disposable underpads, all sizes |
506 |
470 |
$19K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
514 |
480 |
$16K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
38 |
36 |
$2K |