| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
14,936 |
3,187 |
$7.99M |
| T2016 |
Habilitation, residential, waiver; per diem |
17,025 |
651 |
$1.86M |
| M0123 |
|
15,553 |
631 |
$1.18M |
| M0125 |
|
11,377 |
457 |
$1.07M |
| H2014 |
Skills training and development, per 15 minutes |
20,675 |
961 |
$875K |
| T2020 |
Day habilitation, waiver; per diem |
3,116 |
588 |
$403K |
| M0122 |
|
5,225 |
215 |
$379K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
2,870 |
395 |
$284K |
| M0116 |
|
8,310 |
424 |
$265K |
| M0118 |
|
5,478 |
292 |
$206K |
| M0360 |
|
1,561 |
76 |
$161K |
| D0120 |
Periodic oral evaluation - established patient |
271 |
265 |
$98K |
| T1002 |
Rn services, up to 15 minutes |
1,105 |
767 |
$83K |
| M0113 |
|
86 |
80 |
$34K |
| M0240 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring, subsequent repeat doses |
309 |
48 |
$30K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
295 |
105 |
$26K |
| M0299 |
|
350 |
262 |
$23K |
| M0133 |
|
111 |
37 |
$11K |
| M0315 |
|
72 |
67 |
$2K |