| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
197,965 |
56,719 |
$11.88M |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
3,793 |
2,981 |
$409K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
2,311 |
1,846 |
$232K |
| T2037 |
Therapeutic camping, day, waiver; each session |
247 |
244 |
$121K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
639 |
489 |
$81K |
| H0042 |
Foster care, child, non-therapeutic, per month |
39 |
39 |
$33K |
| S5145 |
Foster care, therapeutic, child; per diem |
366 |
12 |
$24K |