| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
3,791 |
465 |
$67K |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
1,958 |
331 |
$38K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
153 |
125 |
$5K |
| A4554 |
Disposable underpads, all sizes |
62 |
55 |
$4K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
43 |
38 |
$1K |