| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
127,815 |
47,839 |
$1.44M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,028 |
4,831 |
$331K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,519 |
3,409 |
$310K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
1,110 |
243 |
$292K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,749 |
3,626 |
$289K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,313 |
2,245 |
$174K |
| A4554 |
Disposable underpads, all sizes |
3,081 |
2,956 |
$135K |
| A4927 |
Gloves, non-sterile, per 100 |
457 |
411 |
$13K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
87 |
87 |
$7K |
| E0241 |
Bath tub wall rail, each |
42 |
27 |
$901.00 |
| S5170 |
Home delivered meals, including preparation; per meal |
24 |
24 |
$0.00 |