| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
22,355 |
1,449 |
$18K |
| T1022 |
Contracted home health agency services, all services provided under contract, per day |
500 |
425 |
$8K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
1,530 |
1,529 |
$6K |
| S5102 |
Day care services, adult; per diem |
198 |
99 |
$5K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
551 |
449 |
$1K |