| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2022 |
Case management, per month |
1,311 |
1,311 |
$278K |
| T2025 |
Waiver services; not otherwise specified (nos) |
2,151 |
2,141 |
$126K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
1,277 |
1,268 |
$12K |
| S5162 |
Emergency response system; purchase only |
309 |
309 |
$7K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
429 |
429 |
$5K |
| T2003 |
Non-emergency transportation; encounter/trip |
309 |
308 |
$2K |
| S5199 |
Personal care item, nos, each |
74 |
74 |
$782.12 |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
99 |
78 |
$0.00 |
| S5102 |
Day care services, adult; per diem |
552 |
550 |
$0.00 |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
300 |
277 |
$0.00 |
| T2001 |
Non-emergency transportation; patient attendant/escort |
57 |
32 |
$0.00 |