| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
19,457 |
4,181 |
$14.66M |
| H2014 |
Skills train and dev, 15 min |
39,959 |
1,939 |
$1.81M |
| M0167 |
|
8,991 |
367 |
$1.36M |
| T2020 |
Day habil waiver per diem |
4,474 |
969 |
$699K |
| M0123 |
|
8,723 |
353 |
$664K |
| M0122 |
|
8,014 |
321 |
$581K |
| M0169 |
|
2,945 |
108 |
$483K |
| M0116 |
|
11,502 |
655 |
$369K |
| M0118 |
|
5,492 |
309 |
$209K |
| M0115 |
|
6,218 |
352 |
$182K |
| D0120 |
|
367 |
329 |
$181K |
| M0299 |
|
2,902 |
790 |
$87K |
| H2019 |
Ther behav svc, per 15 min |
887 |
503 |
$57K |
| T1002 |
Rn services up to 15 minutes |
1,061 |
280 |
$43K |
| M0133 |
|
504 |
279 |
$41K |
| S5199 |
Personal care item nos each |
394 |
309 |
$37K |
| M0125 |
|
360 |
12 |
$34K |
| M0298 |
|
1,080 |
455 |
$24K |
| M0113 |
|
21 |
20 |
$15K |
| T1003 |
Lpn/lvn services up to 15min |
872 |
339 |
$10K |
| T2025 |
Waiver service, nos |
35 |
16 |
$3K |
| M0101 |
|
23 |
14 |
$2K |
| M0315 |
|
20 |
19 |
$1K |
| M0248 |
Sotrovimab inf, home admin |
18 |
14 |
$185.28 |