| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
102,527 |
7,589 |
$24.02M |
| H2014 |
Skills training and development, per 15 minutes |
48,664 |
2,632 |
$2.39M |
| M0150 |
|
13,182 |
532 |
$2.16M |
| T2020 |
Day habilitation, waiver; per diem |
14,971 |
2,293 |
$1.71M |
| M0123 |
|
20,035 |
804 |
$1.53M |
| M0122 |
|
18,466 |
735 |
$1.34M |
| M0152 |
|
5,767 |
230 |
$1.03M |
| M0149 |
|
5,435 |
221 |
$831K |
| M0116 |
|
19,546 |
1,149 |
$676K |
| T1002 |
Rn services, up to 15 minutes |
19,605 |
4,832 |
$647K |
| M0125 |
|
6,341 |
257 |
$596K |
| M0115 |
|
12,337 |
752 |
$385K |
| D0120 |
Periodic oral evaluation - established patient |
993 |
831 |
$335K |
| M0299 |
|
9,284 |
2,685 |
$332K |
| M0118 |
|
6,845 |
402 |
$281K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
3,392 |
910 |
$216K |
| M0117 |
|
3,731 |
221 |
$194K |
| M0113 |
|
430 |
396 |
$170K |
| M0151 |
|
357 |
12 |
$83K |
| M0133 |
|
581 |
286 |
$51K |
| M0124 |
|
325 |
12 |
$39K |
| S8990 |
Physical or manipulative therapy performed for maintenance rather than restoration |
465 |
83 |
$38K |
| M0315 |
|
1,058 |
1,011 |
$29K |
| M0101 |
|
323 |
277 |
$24K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
693 |
543 |
$23K |
| M0298 |
|
1,046 |
501 |
$17K |
| T2025 |
Waiver services; not otherwise specified (nos) |
189 |
24 |
$16K |
| 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 |
1,275 |
1,017 |
$7K |