| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
168,967 |
10,570 |
$37.64M |
| M0150 |
|
29,194 |
1,193 |
$4.71M |
| H2014 |
Skills train and dev, 15 min |
71,301 |
3,839 |
$3.53M |
| M0152 |
|
14,768 |
594 |
$2.59M |
| M0123 |
|
24,456 |
998 |
$1.86M |
| M0122 |
|
25,519 |
1,023 |
$1.85M |
| T2020 |
Day habil waiver per diem |
17,503 |
2,215 |
$1.48M |
| M0166 |
|
8,994 |
364 |
$1.37M |
| M0167 |
|
8,156 |
333 |
$1.32M |
| M0149 |
|
8,610 |
352 |
$1.31M |
| M0116 |
|
50,419 |
2,184 |
$1.16M |
| M0125 |
|
10,253 |
409 |
$964K |
| T1002 |
Rn services up to 15 minutes |
14,844 |
5,597 |
$689K |
| M0118 |
|
20,739 |
907 |
$591K |
| H2019 |
Ther behav svc, per 15 min |
9,082 |
2,939 |
$548K |
| M0115 |
|
24,321 |
1,115 |
$532K |
| T1003 |
Lpn/lvn services up to 15min |
25,698 |
3,807 |
$457K |
| M0299 |
|
8,197 |
2,981 |
$338K |
| M0133 |
|
2,162 |
1,083 |
$210K |
| M0298 |
|
11,440 |
2,410 |
$202K |
| D9220 |
|
538 |
500 |
$199K |
| M0113 |
|
522 |
498 |
$178K |
| M0117 |
|
2,650 |
129 |
$122K |
| M0101 |
|
1,255 |
981 |
$86K |
| S5199 |
Personal care item nos each |
951 |
807 |
$79K |
| D0120 |
|
157 |
154 |
$59K |
| M0315 |
|
1,071 |
1,034 |
$30K |
| M0248 |
Sotrovimab inf, home admin |
1,872 |
1,679 |
$13K |
| M0120 |
|
166 |
109 |
$12K |
| A9153 |
Multi-vitamin nos |
163 |
147 |
$11K |
| T2025 |
Waiver service, nos |
25 |
15 |
$3K |