| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management, each 15 minutes |
273,073 |
41,244 |
$12.60M |
| T2028 |
Specialized supply, not otherwise specified, waiver |
2,798 |
2,236 |
$591K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
6,537 |
5,622 |
$462K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
3,340 |
475 |
$298K |
| T2013 |
Habilitation, educational, waiver; per hour |
2,975 |
800 |
$160K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
816 |
297 |
$76K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
557 |
510 |
$70K |
| G0176 |
Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
927 |
294 |
$63K |
| T2027 |
Specialized childcare, waiver; per 15 minutes |
1,180 |
124 |
$58K |
| S5165 |
Home modifications; per service |
13 |
12 |
$51K |
| S0215 |
Non-emergency transportation; mileage, per mile |
3,066 |
504 |
$36K |
| S5162 |
Emergency response system; purchase only |
71 |
62 |
$4K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
47 |
40 |
$2K |