| Code | Description | Claims | Beneficiaries | Total Paid |
| T1000 |
Private duty / independent nursing service(s) - licensed, up to 15 minutes |
34,600 |
1,464 |
$17.62M |
| T1016 |
Case management, each 15 minutes |
43,124 |
15,389 |
$4.99M |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
12,658 |
6,869 |
$2.43M |
| S5125 |
Attendant care services; per 15 minutes |
3,443 |
147 |
$248K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
824 |
578 |
$77K |
| G9012 |
Other specified case management service not elsewhere classified |
380 |
12 |
$45K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
704 |
507 |
$43K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
502 |
349 |
$41K |
| A4554 |
Disposable underpads, all sizes |
1,479 |
1,127 |
$40K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
417 |
305 |
$36K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
394 |
286 |
$23K |
| S5165 |
Home modifications; per service |
19 |
17 |
$20K |
| T2025 |
Waiver services; not otherwise specified (nos) |
125 |
119 |
$5K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
13 |
13 |
$926.06 |