| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management |
12,361 |
3,788 |
$1.29M |
| S9125 |
Respite care, in the home, p |
1,395 |
420 |
$623K |
| T1005 |
Respite care service 15 min |
859 |
242 |
$129K |
| G0176 |
Opps/php/iop; activity thrpy |
664 |
236 |
$104K |
| T1017 |
Targeted case management |
1,389 |
1,379 |
$62K |
| T2017 |
Habil res waiver 15 min |
452 |
90 |
$57K |
| T1999 |
Noc retail items andsupplies |
472 |
361 |
$47K |
| A9999 |
Dme supply or accessory, nos |
364 |
271 |
$39K |
| T2040 |
Financial mgt waiver/15min |
193 |
193 |
$15K |
| S5170 |
Homedelivered prepared meal |
79 |
79 |
$14K |
| T2003 |
N-et; encounter/trip |
52 |
13 |
$9K |
| S5190 |
Wellness assessment by nonph |
36 |
24 |
$7K |
| T2028 |
Special supply, nos waiver |
25 |
24 |
$4K |
| S0215 |
Nonemerg transp mileage |
93 |
25 |
$2K |