| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
12,361 |
3,788 |
$1.29M |
| S9125 |
Respite care, in the home, per diem |
1,395 |
420 |
$623K |
| T1005 |
Respite care services, up to 15 minutes |
859 |
242 |
$129K |
| G0176 |
Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
664 |
236 |
$104K |
| T1017 |
Targeted case management, each 15 minutes |
1,389 |
1,379 |
$62K |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
452 |
90 |
$57K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
472 |
361 |
$47K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
364 |
271 |
$39K |
| T2040 |
Financial management, self-directed, waiver; per 15 minutes |
193 |
193 |
$15K |
| S5170 |
Home delivered meals, including preparation; per meal |
79 |
79 |
$14K |
| T2003 |
Non-emergency transportation; encounter/trip |
52 |
13 |
$9K |
| S5190 |
Wellness assessment, performed by non-physician |
36 |
24 |
$7K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
25 |
24 |
$4K |
| S0215 |
Non-emergency transportation; mileage, per mile |
93 |
25 |
$2K |