| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
137,183 |
6,436 |
$22.43M |
| H2014 |
Skills training and development, per 15 minutes |
48,567 |
2,492 |
$2.33M |
| M0123 |
|
25,848 |
1,048 |
$1.97M |
| M0152 |
|
10,422 |
431 |
$1.82M |
| M0151 |
|
6,172 |
253 |
$1.22M |
| T2020 |
Day habilitation, waiver; per diem |
9,934 |
1,383 |
$1.04M |
| M0150 |
|
6,323 |
260 |
$1.02M |
| M0122 |
|
10,836 |
432 |
$785K |
| M0167 |
|
4,652 |
196 |
$751K |
| M0116 |
|
20,584 |
1,065 |
$686K |
| T1002 |
Rn services, up to 15 minutes |
19,250 |
4,948 |
$628K |
| M0125 |
|
5,623 |
226 |
$529K |
| M0118 |
|
11,034 |
519 |
$435K |
| D0120 |
Periodic oral evaluation - established patient |
793 |
754 |
$338K |
| M0117 |
|
6,400 |
267 |
$311K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
2,678 |
1,023 |
$231K |
| M0133 |
|
2,073 |
771 |
$177K |
| M0115 |
|
5,838 |
340 |
$176K |
| M0299 |
|
4,673 |
1,734 |
$160K |
| M0113 |
|
399 |
343 |
$158K |
| T2025 |
Waiver services; not otherwise specified (nos) |
2,326 |
477 |
$151K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
995 |
875 |
$69K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
2,917 |
950 |
$60K |
| M0171 |
|
740 |
169 |
$47K |
| M0101 |
|
611 |
483 |
$44K |
| M0315 |
|
891 |
856 |
$25K |
| M0135 |
|
182 |
54 |
$13K |
| 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 |
1,493 |
1,286 |
$8K |
| M0298 |
|
289 |
153 |
$6K |
| S8990 |
Physical or manipulative therapy performed for maintenance rather than restoration |
57 |
13 |
$4K |
| M0120 |
|
40 |
30 |
$2K |