| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
46,331 |
2,232 |
$10.08M |
| T2022 |
Case management, per month |
16,425 |
16,420 |
$2.95M |
| M0151 |
|
7,639 |
291 |
$1.51M |
| M0150 |
|
5,821 |
222 |
$942K |
| M0152 |
|
4,196 |
170 |
$711K |
| H2014 |
Skills train and dev, 15 min |
12,415 |
656 |
$678K |
| T2020 |
Day habil waiver per diem |
10,949 |
518 |
$582K |
| M0117 |
|
8,231 |
269 |
$362K |
| M0118 |
|
6,932 |
228 |
$237K |
| H2019 |
Ther behav svc, per 15 min |
1,939 |
739 |
$228K |
| M0123 |
|
2,861 |
96 |
$218K |
| M0116 |
|
6,498 |
232 |
$207K |
| T1003 |
Lpn/lvn services up to 15min |
4,725 |
1,031 |
$97K |
| T1002 |
Rn services up to 15 minutes |
3,122 |
1,017 |
$71K |
| M0298 |
|
3,954 |
617 |
$67K |
| M0299 |
|
2,552 |
692 |
$66K |
| A9153 |
Multi-vitamin nos |
491 |
437 |
$22K |
| M0101 |
|
209 |
169 |
$11K |
| M0133 |
|
45 |
16 |
$6K |
| M0248 |
Sotrovimab inf, home admin |
655 |
573 |
$3K |