| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
74,021 |
19,017 |
$4.71M |
| T1017 |
Targeted case management, each 15 minutes |
5,504 |
4,511 |
$550K |
| H0042 |
Foster care, child, non-therapeutic, per month |
421 |
412 |
$230K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
1,710 |
1,300 |
$179K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
532 |
460 |
$73K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
568 |
485 |
$65K |
| S5190 |
Wellness assessment, performed by non-physician |
214 |
203 |
$48K |