| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
68,095 |
2,315 |
$5.54M |
| M0123 |
|
14,360 |
538 |
$1.09M |
| T2016 |
Habilitation, residential, waiver; per diem |
11,665 |
855 |
$964K |
| H2014 |
Skills training and development, per 15 minutes |
13,880 |
995 |
$509K |
| M0122 |
|
6,026 |
229 |
$437K |
| T2020 |
Day habilitation, waiver; per diem |
9,935 |
626 |
$348K |
| M0125 |
|
2,347 |
84 |
$221K |
| M0354 |
|
2,323 |
181 |
$211K |
| M0116 |
|
4,469 |
280 |
$156K |
| M0372 |
|
16,474 |
872 |
$117K |
| T2025 |
Waiver services; not otherwise specified (nos) |
1,296 |
244 |
$93K |
| D0120 |
Periodic oral evaluation - established patient |
221 |
193 |
$74K |
| T1002 |
Rn services, up to 15 minutes |
1,655 |
1,182 |
$65K |
| M0115 |
|
1,242 |
102 |
$40K |
| M0299 |
|
412 |
319 |
$18K |
| S8990 |
Physical or manipulative therapy performed for maintenance rather than restoration |
218 |
24 |
$18K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
745 |
543 |
$7K |
| M0315 |
|
128 |
113 |
$2K |
| M0298 |
|
208 |
174 |
$2K |