| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
21,976 |
3,721 |
$11.08M |
| M0123 |
|
20,934 |
780 |
$1.59M |
| M0125 |
|
12,118 |
450 |
$1.14M |
| M0124 |
|
9,440 |
350 |
$1.13M |
| T2020 |
Day habilitation, waiver; per diem |
5,511 |
1,069 |
$870K |
| H2014 |
Skills training and development, per 15 minutes |
17,167 |
931 |
$817K |
| M0116 |
|
14,339 |
778 |
$486K |
| M0122 |
|
6,080 |
224 |
$441K |
| M0118 |
|
7,910 |
427 |
$315K |
| M0117 |
|
5,810 |
304 |
$286K |
| M0115 |
|
4,225 |
232 |
$131K |
| T1002 |
Rn services, up to 15 minutes |
3,483 |
944 |
$126K |
| M0113 |
|
190 |
178 |
$83K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
2,026 |
552 |
$31K |
| M0299 |
|
1,003 |
385 |
$31K |
| M0298 |
|
1,289 |
633 |
$21K |
| D9220 |
|
40 |
40 |
$20K |
| M0315 |
|
237 |
229 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
17 |
16 |
$6K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
78 |
61 |
$6K |
| M0133 |
|
22 |
13 |
$3K |