| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
97,650 |
4,497 |
$16.49M |
| H2014 |
Skills training and development, per 15 minutes |
53,010 |
2,392 |
$2.25M |
| M0167 |
|
6,646 |
270 |
$1.08M |
| M0123 |
|
12,879 |
524 |
$981K |
| M0150 |
|
5,082 |
208 |
$822K |
| T2020 |
Day habilitation, waiver; per diem |
8,177 |
1,095 |
$768K |
| M0122 |
|
9,793 |
398 |
$711K |
| T1002 |
Rn services, up to 15 minutes |
19,923 |
3,663 |
$568K |
| M0116 |
|
13,818 |
783 |
$469K |
| D0120 |
Periodic oral evaluation - established patient |
691 |
654 |
$267K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
2,079 |
1,223 |
$246K |
| M0115 |
|
6,785 |
409 |
$202K |
| M0117 |
|
4,137 |
203 |
$200K |
| M0299 |
|
6,576 |
1,565 |
$197K |
| M0118 |
|
4,566 |
230 |
$183K |
| T2025 |
Waiver services; not otherwise specified (nos) |
1,790 |
678 |
$127K |
| M0113 |
|
299 |
279 |
$110K |
| M0133 |
|
826 |
418 |
$86K |
| S8990 |
Physical or manipulative therapy performed for maintenance rather than restoration |
761 |
439 |
$46K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
1,217 |
1,110 |
$45K |
| M0171 |
|
422 |
133 |
$33K |
| M0101 |
|
676 |
564 |
$28K |
| M0315 |
|
787 |
757 |
$20K |
| M0131 |
|
216 |
107 |
$14K |
| M0120 |
|
151 |
118 |
$8K |
| 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 |
1,846 |
1,630 |
$6K |
| M0298 |
|
197 |
76 |
$3K |