| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
15,022 |
3,377 |
$13.53M |
| H2014 |
Skills training and development, per 15 minutes |
35,445 |
1,826 |
$1.73M |
| M0167 |
|
9,224 |
365 |
$1.49M |
| T2020 |
Day habilitation, waiver; per diem |
5,166 |
764 |
$577K |
| T1002 |
Rn services, up to 15 minutes |
13,537 |
2,287 |
$485K |
| M0123 |
|
6,111 |
236 |
$465K |
| M0116 |
|
12,321 |
683 |
$418K |
| M0122 |
|
4,731 |
176 |
$343K |
| D0120 |
Periodic oral evaluation - established patient |
409 |
386 |
$243K |
| M0118 |
|
5,678 |
314 |
$230K |
| M0299 |
|
7,284 |
1,269 |
$205K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
2,548 |
899 |
$135K |
| M0113 |
|
189 |
176 |
$98K |
| M0117 |
|
1,481 |
72 |
$72K |
| M0115 |
|
2,198 |
137 |
$67K |
| M0133 |
|
1,153 |
405 |
$62K |
| M0101 |
|
708 |
506 |
$36K |
| S5199 |
Personal care item, nos, each |
371 |
316 |
$33K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
837 |
767 |
$22K |
| M0315 |
|
171 |
164 |
$7K |
| 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 |
1,342 |
1,057 |
$6K |
| M0609 |
|
14 |
13 |
$3K |