| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
757 |
732 |
$2.31M |
| M0123 |
|
6,165 |
206 |
$469K |
| H2014 |
Skills training and development, per 15 minutes |
6,943 |
381 |
$258K |
| T2020 |
Day habilitation, waiver; per diem |
2,897 |
198 |
$104K |
| M0116 |
|
1,991 |
113 |
$65K |
| D0120 |
Periodic oral evaluation - established patient |
126 |
123 |
$53K |
| M0113 |
|
52 |
48 |
$20K |
| T1002 |
Rn services, up to 15 minutes |
1,025 |
372 |
$20K |
| M0372 |
|
1,813 |
350 |
$19K |
| T2016 |
Habilitation, residential, waiver; per diem |
1,136 |
329 |
$16K |
| M0298 |
|
967 |
402 |
$10K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
580 |
270 |
$6K |
| M0354 |
|
328 |
83 |
$5K |
| M0315 |
|
90 |
86 |
$3K |
| M0299 |
|
54 |
42 |
$2K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
30 |
24 |
$1K |
| M0101 |
|
17 |
13 |
$493.94 |
| 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 |
17 |
13 |
$49.33 |