| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2024 |
Serv asmnt/care plan waiver |
13,066 |
13,062 |
$0.00 |
| T2023 |
Targeted case mgmt per month |
1,563 |
1,563 |
$0.00 |
| S5199 |
Personal care item nos each |
3,743 |
3,508 |
$0.00 |
| S5170 |
Homedelivered prepared meal |
11,061 |
883 |
$0.00 |
| T5999 |
Supply, nos |
133 |
121 |
$0.00 |
| T2003 |
N-et; encounter/trip |
52 |
30 |
$0.00 |
| 0522 |
|
1,436 |
553 |
$0.00 |
| T2028 |
Special supply, nos waiver |
4,899 |
4,227 |
$0.00 |
| S5161 |
Emer rspns sys serv permonth |
6,368 |
6,366 |
$0.00 |
| T2025 |
Waiver service, nos |
2,321 |
2,315 |
$0.00 |
| T2022 |
Case management, per month |
13,860 |
13,824 |
$0.00 |
| S5162 |
Emer rspns system purchase |
13 |
13 |
$0.00 |