| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
63,922 |
3,131 |
$10.97M |
| T2026 |
Special childcare waiver/d |
35,034 |
2,062 |
$5.64M |
| M0150 |
|
8,466 |
326 |
$1.37M |
| M0152 |
|
6,068 |
237 |
$1.06M |
| 97124 |
|
1,717 |
1,381 |
$784K |
| M0123 |
|
9,452 |
364 |
$720K |
| M0122 |
|
7,040 |
268 |
$511K |
| T2020 |
Day habil waiver per diem |
10,649 |
596 |
$483K |
| H2014 |
Skills train and dev, 15 min |
10,766 |
514 |
$458K |
| T2015 |
Habil prevoc waiver per hr |
393 |
374 |
$429K |
| M0116 |
|
12,321 |
431 |
$363K |
| M0118 |
|
7,236 |
265 |
$246K |
| T1002 |
Rn services up to 15 minutes |
4,457 |
1,691 |
$200K |
| H2019 |
Ther behav svc, per 15 min |
1,613 |
538 |
$164K |
| T1003 |
Lpn/lvn services up to 15min |
6,057 |
1,001 |
$125K |
| M0299 |
|
2,460 |
852 |
$109K |
| M0133 |
|
912 |
309 |
$68K |
| G0648 |
|
1,172 |
912 |
$43K |
| M0298 |
|
2,124 |
572 |
$39K |
| A9153 |
Multi-vitamin nos |
450 |
394 |
$29K |
| M0113 |
|
66 |
62 |
$24K |
| M0101 |
|
339 |
269 |
$17K |
| G0649 |
|
217 |
213 |
$15K |
| M0248 |
Sotrovimab inf, home admin |
823 |
719 |
$4K |
| M0315 |
|
64 |
61 |
$2K |