| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
4,380 |
3,868 |
$13.71M |
| H2014 |
Skills training and development, per 15 minutes |
38,779 |
2,053 |
$1.59M |
| M0123 |
|
16,875 |
562 |
$1.28M |
| M0150 |
|
7,196 |
273 |
$1.17M |
| M0152 |
|
5,311 |
208 |
$928K |
| M0124 |
|
5,846 |
194 |
$697K |
| T2020 |
Day habilitation, waiver; per diem |
1,084 |
993 |
$582K |
| M0122 |
|
5,689 |
191 |
$413K |
| M0125 |
|
3,760 |
125 |
$354K |
| D0120 |
Periodic oral evaluation - established patient |
583 |
565 |
$333K |
| M0116 |
|
9,647 |
546 |
$309K |
| M0118 |
|
4,535 |
251 |
$180K |
| M0113 |
|
315 |
277 |
$174K |
| T1002 |
Rn services, up to 15 minutes |
3,715 |
2,439 |
$124K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
1,290 |
457 |
$113K |
| M0354 |
|
1,841 |
116 |
$64K |
| M0115 |
|
2,175 |
142 |
$63K |
| T2016 |
Habilitation, residential, waiver; per diem |
1,897 |
93 |
$61K |
| M0299 |
|
1,799 |
1,105 |
$59K |
| M0133 |
|
754 |
264 |
$51K |
| M0372 |
|
1,889 |
226 |
$27K |
| M0315 |
|
661 |
648 |
$25K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
68 |
54 |
$6K |
| M0101 |
|
45 |
37 |
$5K |
| 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 |
102 |
79 |
$948.22 |
| M0298 |
|
35 |
25 |
$363.66 |