| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management, each 15 minutes |
35,126 |
7,535 |
$2.37M |
| S5151 |
Unskilled respite care, not hospice; per diem |
2,025 |
890 |
$1.02M |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
1,426 |
1,241 |
$230K |
| T1017 |
Targeted case management, each 15 minutes |
3,609 |
3,513 |
$200K |
| S5190 |
Wellness assessment, performed by non-physician |
466 |
411 |
$130K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
633 |
556 |
$93K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
431 |
377 |
$82K |
| H0042 |
Foster care, child, non-therapeutic, per month |
38 |
38 |
$49K |
| H0045 |
Respite care services, not in the home, per diem |
150 |
68 |
$22K |