| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
69,459 |
2,602 |
$7.82M |
| H2014 |
Skills train and dev, 15 min |
25,225 |
1,327 |
$1.14M |
| M0123 |
|
7,073 |
282 |
$539K |
| H2019 |
Ther behav svc, per 15 min |
1,958 |
989 |
$357K |
| T2020 |
Day habil waiver per diem |
9,143 |
500 |
$338K |
| M0133 |
|
1,096 |
443 |
$196K |
| M0116 |
|
5,269 |
307 |
$154K |
| T1003 |
Lpn/lvn services up to 15min |
6,945 |
2,517 |
$138K |
| T1002 |
Rn services up to 15 minutes |
1,131 |
862 |
$133K |
| T2025 |
Waiver service, nos |
1,107 |
190 |
$75K |
| D0120 |
|
131 |
125 |
$57K |
| M0299 |
|
446 |
358 |
$47K |
| M0298 |
|
2,492 |
778 |
$44K |
| M0118 |
|
880 |
48 |
$29K |
| S5199 |
Personal care item nos each |
25 |
14 |
$2K |
| M0315 |
|
67 |
65 |
$2K |
| M0248 |
Sotrovimab inf, home admin |
31 |
26 |
$419.26 |