| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
12,265 |
2,465 |
$9.91M |
| H2014 |
Skills train and dev, 15 min |
21,601 |
1,070 |
$1.34M |
| M0152 |
|
6,494 |
263 |
$1.14M |
| M0150 |
|
6,716 |
272 |
$1.09M |
| T2020 |
Day habil waiver per diem |
4,949 |
616 |
$538K |
| M0118 |
|
8,990 |
357 |
$316K |
| M0116 |
|
8,069 |
311 |
$246K |
| T1002 |
Rn services up to 15 minutes |
3,942 |
1,246 |
$183K |
| D0120 |
|
79 |
75 |
$63K |
| M0299 |
|
729 |
431 |
$27K |
| T1003 |
Lpn/lvn services up to 15min |
1,595 |
884 |
$24K |
| H2019 |
Ther behav svc, per 15 min |
247 |
203 |
$17K |
| M0298 |
|
885 |
434 |
$15K |
| M0113 |
|
17 |
14 |
$15K |
| M0101 |
|
260 |
206 |
$12K |
| M0133 |
|
100 |
91 |
$9K |
| T2025 |
Waiver service, nos |
94 |
13 |
$6K |
| M0315 |
|
77 |
76 |
$5K |
| A9153 |
Multi-vitamin nos |
33 |
27 |
$3K |
| M0248 |
Sotrovimab inf, home admin |
458 |
363 |
$3K |
| S5199 |
Personal care item nos each |
46 |
40 |
$2K |