| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
6,765 |
1,384 |
$4.32M |
| M0150 |
|
4,534 |
183 |
$710K |
| H2014 |
Skills training and development, per 15 minutes |
17,030 |
726 |
$569K |
| M0122 |
|
7,165 |
291 |
$520K |
| T2020 |
Day habilitation, waiver; per diem |
2,117 |
405 |
$251K |
| M0116 |
|
5,230 |
278 |
$160K |
| T1002 |
Rn services, up to 15 minutes |
3,822 |
1,190 |
$108K |
| M0115 |
|
3,530 |
219 |
$103K |
| M0299 |
|
1,939 |
640 |
$64K |
| M0298 |
|
1,267 |
401 |
$32K |
| M0101 |
|
523 |
449 |
$16K |
| S5199 |
Personal care item, nos, each |
511 |
486 |
$7K |
| M0113 |
|
18 |
17 |
$4K |
| M0248 |
Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency |
930 |
823 |
$2K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
44 |
29 |
$1K |
| M0315 |
|
30 |
27 |
$463.58 |