| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
21,892 |
4,088 |
$15.66M |
| H2014 |
Skills train and dev, 15 min |
49,925 |
2,259 |
$2.00M |
| M0167 |
|
12,673 |
515 |
$1.92M |
| M0169 |
|
6,345 |
263 |
$1.05M |
| S8990 |
Pt or manip for maint |
14,129 |
1,634 |
$954K |
| M0166 |
|
6,457 |
259 |
$921K |
| T2020 |
Day habil waiver per diem |
3,428 |
981 |
$647K |
| M0125 |
|
6,127 |
249 |
$576K |
| T2025 |
Waiver service, nos |
8,176 |
1,364 |
$465K |
| M0123 |
|
5,813 |
241 |
$443K |
| H2019 |
Ther behav svc, per 15 min |
4,755 |
1,229 |
$360K |
| M0116 |
|
10,989 |
673 |
$348K |
| M0135 |
|
4,050 |
570 |
$319K |
| M0118 |
|
7,331 |
427 |
$272K |
| M0171 |
|
2,561 |
658 |
$189K |
| M0131 |
|
2,448 |
480 |
$163K |
| T1002 |
Rn services up to 15 minutes |
4,757 |
1,747 |
$151K |
| M0115 |
|
4,327 |
289 |
$125K |
| T1003 |
Lpn/lvn services up to 15min |
4,958 |
2,240 |
$116K |
| D0120 |
|
240 |
231 |
$101K |
| M0133 |
|
1,594 |
528 |
$93K |
| M0299 |
|
1,645 |
839 |
$71K |
| M0298 |
|
3,468 |
1,483 |
$61K |
| M0113 |
|
73 |
67 |
$41K |
| M0117 |
|
485 |
36 |
$22K |
| M0101 |
|
173 |
158 |
$20K |
| A9153 |
Multi-vitamin nos |
165 |
151 |
$18K |
| M0490 |
|
105 |
15 |
$17K |
| M0315 |
|
143 |
139 |
$4K |
| M0248 |
Sotrovimab inf, home admin |
282 |
255 |
$3K |