| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
84,625 |
15,622 |
$10.41M |
| T1017 |
Targeted case management |
69,261 |
59,596 |
$4.42M |
| H0041 |
Fos c chld non-ther per diem |
676 |
650 |
$1.67M |
| S5150 |
Unskilled respite care /15m |
967 |
307 |
$356K |
| S5165 |
Home modifications per serv |
76 |
63 |
$292K |
| T2028 |
Special supply, nos waiver |
1,236 |
1,083 |
$264K |
| A9999 |
Dme supply or accessory, nos |
1,425 |
1,325 |
$230K |
| E1399 |
Durable medical equipment mi |
624 |
380 |
$99K |
| S5115 |
Nonfamily homecare train/15m |
244 |
233 |
$72K |
| T1999 |
Noc retail items andsupplies |
554 |
550 |
$59K |
| G0176 |
Opps/php/iop; activity thrpy |
666 |
208 |
$45K |
| T2013 |
Habil ed waiver per hour |
479 |
214 |
$45K |
| E1902 |
Aac non-electronic board |
107 |
106 |
$25K |
| S9445 |
Pt education noc individ |
16 |
14 |
$5K |
| E0700 |
Safety equipment |
31 |
31 |
$1K |