| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
9,690 |
2,112 |
$6.29M |
| H2014 |
Skills training and development, per 15 minutes |
21,744 |
952 |
$810K |
| M0123 |
|
7,861 |
322 |
$599K |
| M0125 |
|
4,556 |
188 |
$429K |
| T2020 |
Day habilitation, waiver; per diem |
6,008 |
474 |
$315K |
| M0116 |
|
5,995 |
310 |
$197K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
1,534 |
774 |
$157K |
| M0122 |
|
1,483 |
60 |
$108K |
| M0115 |
|
2,848 |
147 |
$85K |
| T1002 |
Rn services, up to 15 minutes |
2,766 |
1,095 |
$67K |
| M0133 |
|
586 |
335 |
$44K |
| M0299 |
|
1,595 |
775 |
$43K |
| M0118 |
|
521 |
27 |
$21K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
277 |
244 |
$13K |
| M0101 |
|
298 |
278 |
$13K |
| D0120 |
Periodic oral evaluation - established patient |
39 |
39 |
$12K |
| 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 |
659 |
579 |
$3K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
23 |
13 |
$170.66 |