| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
14,521 |
1,432 |
$3.37M |
| T2016 |
Habilitation, residential, waiver; per diem |
9,781 |
557 |
$1.39M |
| M0360 |
|
6,522 |
390 |
$829K |
| M0123 |
|
6,489 |
260 |
$494K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
2,954 |
453 |
$488K |
| M0240 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring, subsequent repeat doses |
2,253 |
347 |
$328K |
| H2014 |
Skills training and development, per 15 minutes |
6,650 |
402 |
$290K |
| T2020 |
Day habilitation, waiver; per diem |
2,409 |
272 |
$162K |
| T1002 |
Rn services, up to 15 minutes |
394 |
208 |
$21K |
| M0116 |
|
287 |
13 |
$11K |
| M0299 |
|
144 |
86 |
$5K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
38 |
32 |
$2K |
| M0298 |
|
23 |
14 |
$571.56 |