| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
44,246 |
23,049 |
$8.61M |
| S5125 |
Attendant care service /15m |
49,420 |
2,326 |
$4.81M |
| T1019 |
Personal care ser per 15 min |
21,738 |
1,062 |
$2.68M |
| G9012 |
Other specified case mgmt |
17,953 |
700 |
$2.39M |
| G9004 |
Mccd, risk adj lo, initial |
38,851 |
1,420 |
$1.63M |
| T2041 |
Support broker waiver/15 min |
4,236 |
4,082 |
$1.51M |
| G9003 |
Mccd, risk adj hi, initial |
10,027 |
368 |
$630K |
| S5150 |
Unskilled respite care /15m |
6,330 |
610 |
$571K |
| T1004 |
Nsg aide service up to 15min |
4,567 |
466 |
$426K |
| T4532 |
Ped size pull-on lg |
690 |
550 |
$72K |