| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
79,637 |
15,279 |
$7.86M |
| H0042 |
Foster care, child, non-therapeutic, per month |
528 |
505 |
$705K |
| T1017 |
Targeted case management, each 15 minutes |
8,812 |
7,910 |
$533K |
| S5190 |
Wellness assessment, performed by non-physician |
1,137 |
1,028 |
$523K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
1,254 |
1,062 |
$149K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
623 |
469 |
$122K |
| S5151 |
Unskilled respite care, not hospice; per diem |
437 |
166 |
$80K |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
1,555 |
110 |
$64K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
181 |
115 |
$24K |