| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
2,355 |
983 |
$3.87M |
| H2014 |
Skills train and dev, 15 min |
13,197 |
702 |
$526K |
| H2019 |
Ther behav svc, per 15 min |
2,220 |
387 |
$234K |
| T2020 |
Day habil waiver per diem |
1,948 |
402 |
$221K |
| T2025 |
Waiver service, nos |
2,419 |
427 |
$147K |
| S8990 |
Pt or manip for maint |
2,007 |
254 |
$147K |
| M0354 |
|
3,619 |
359 |
$141K |
| M0166 |
|
893 |
36 |
$132K |
| M0116 |
|
3,842 |
232 |
$128K |
| T2016 |
Habil res waiver per diem |
3,486 |
461 |
$125K |
| M0115 |
|
3,889 |
227 |
$113K |
| M0133 |
|
1,356 |
273 |
$110K |
| M0171 |
|
1,391 |
222 |
$84K |
| M0372 |
|
4,113 |
723 |
$61K |
| T1002 |
Rn services up to 15 minutes |
1,010 |
464 |
$31K |
| M0299 |
|
1,312 |
488 |
$28K |
| M0113 |
|
56 |
52 |
$25K |
| D0120 |
|
55 |
51 |
$18K |
| T1003 |
Lpn/lvn services up to 15min |
988 |
321 |
$11K |
| M0315 |
|
108 |
102 |
$4K |
| M0101 |
|
33 |
27 |
$1K |
| M0248 |
Sotrovimab inf, home admin |
32 |
26 |
$114.06 |