| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
358,520 |
13,899 |
$53.89M |
| M0150 |
|
43,662 |
1,714 |
$7.03M |
| H2014 |
Skills train and dev, 15 min |
145,539 |
5,996 |
$6.03M |
| M0152 |
|
24,722 |
966 |
$4.32M |
| T2020 |
Day habil waiver per diem |
50,616 |
3,284 |
$2.54M |
| M0123 |
|
29,981 |
1,129 |
$2.28M |
| M0122 |
|
31,361 |
1,177 |
$2.28M |
| M0166 |
|
12,151 |
473 |
$1.85M |
| M0153 |
|
5,599 |
206 |
$1.61M |
| M0149 |
|
10,502 |
409 |
$1.60M |
| T1002 |
Rn services up to 15 minutes |
61,904 |
11,228 |
$1.46M |
| M0125 |
|
14,899 |
554 |
$1.40M |
| M0116 |
|
42,272 |
2,411 |
$1.39M |
| M0151 |
|
6,926 |
268 |
$1.36M |
| M0167 |
|
5,715 |
237 |
$923K |
| M0118 |
|
23,789 |
1,298 |
$908K |
| M0115 |
|
22,135 |
1,315 |
$665K |
| M0299 |
|
22,225 |
6,322 |
$650K |
| H2019 |
Ther behav svc, per 15 min |
12,917 |
2,886 |
$649K |
| D0120 |
|
1,795 |
1,692 |
$646K |
| M0354 |
|
4,168 |
289 |
$562K |
| T2016 |
Habil res waiver per diem |
4,700 |
190 |
$511K |
| M0119 |
|
3,375 |
174 |
$475K |
| M0113 |
|
1,235 |
1,118 |
$465K |
| M0133 |
|
6,101 |
1,695 |
$392K |
| M0117 |
|
5,490 |
303 |
$265K |
| T2025 |
Waiver service, nos |
3,208 |
706 |
$251K |
| T1003 |
Lpn/lvn services up to 15min |
12,133 |
4,397 |
$144K |
| A9153 |
Multi-vitamin nos |
3,141 |
2,563 |
$129K |
| M0101 |
|
2,042 |
1,634 |
$119K |
| M0171 |
|
1,757 |
339 |
$113K |
| M0315 |
|
2,472 |
2,359 |
$61K |
| M0298 |
|
5,173 |
2,342 |
$60K |
| D9220 |
|
57 |
55 |
$41K |
| M0124 |
|
272 |
12 |
$32K |
| M0248 |
Sotrovimab inf, home admin |
6,302 |
4,689 |
$26K |
| T1013 |
Sign lang/oral interpreter |
807 |
299 |
$16K |
| H2025 |
Supp maint employ, 15 min |
137 |
29 |
$13K |
| M0372 |
|
763 |
112 |
$10K |
| S5199 |
Personal care item nos each |
68 |
53 |
$6K |
| M0316 |
|
109 |
98 |
$4K |
| M0317 |
|
13 |
13 |
$986.47 |