| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
8,768 |
2,858 |
$824K |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
1,167 |
1,004 |
$359K |
| 99199 |
Unlisted special service, procedure or report |
6,419 |
3,379 |
$31K |
| A4554 |
Disposable underpads, all sizes |
323 |
273 |
$12K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
189 |
139 |
$9K |