| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
63,917 |
15,440 |
$5.05M |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
3,275 |
2,395 |
$334K |
| H0041 |
Foster care, child, non-therapeutic, per diem |
379 |
354 |
$317K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
1,719 |
1,157 |
$230K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
126 |
104 |
$29K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
119 |
112 |
$5K |
| T2036 |
Therapeutic camping, overnight, waiver; each session |
33 |
33 |
$4K |
| T2037 |
Therapeutic camping, day, waiver; each session |
54 |
54 |
$2K |
| S5190 |
Wellness assessment, performed by non-physician |
20 |
12 |
$2K |