| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
18,485 |
3,731 |
$10.82M |
| M0125 |
|
12,971 |
527 |
$1.22M |
| M0123 |
|
12,551 |
506 |
$956K |
| H2014 |
Skills training and development, per 15 minutes |
19,554 |
1,316 |
$906K |
| M0122 |
|
7,200 |
289 |
$522K |
| T2020 |
Day habilitation, waiver; per diem |
11,613 |
652 |
$444K |
| M0118 |
|
10,316 |
487 |
$376K |
| M0152 |
|
1,676 |
84 |
$267K |
| M0116 |
|
5,700 |
277 |
$176K |
| M0124 |
|
1,127 |
60 |
$134K |
| D0120 |
Periodic oral evaluation - established patient |
488 |
472 |
$126K |
| M0115 |
|
3,018 |
157 |
$84K |
| M0135 |
|
1,016 |
154 |
$82K |
| M0113 |
|
255 |
230 |
$80K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
277 |
226 |
$61K |
| S8990 |
Physical or manipulative therapy performed for maintenance rather than restoration |
777 |
80 |
$60K |
| T1002 |
Rn services, up to 15 minutes |
545 |
463 |
$42K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
2,602 |
1,544 |
$30K |
| M0117 |
|
433 |
24 |
$20K |
| M0299 |
|
208 |
193 |
$19K |
| M0315 |
|
675 |
647 |
$16K |
| M0298 |
|
1,027 |
654 |
$13K |
| M0133 |
|
72 |
66 |
$11K |
| M0131 |
|
81 |
12 |
$6K |
| M0101 |
|
16 |
14 |
$2K |