| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
12,223 |
2,587 |
$8.56M |
| H2014 |
Skills training and development, per 15 minutes |
28,649 |
1,054 |
$1.09M |
| M0123 |
|
9,519 |
391 |
$725K |
| T2020 |
Day habilitation, waiver; per diem |
3,009 |
626 |
$448K |
| M0122 |
|
5,859 |
238 |
$425K |
| M0116 |
|
9,321 |
454 |
$298K |
| M0118 |
|
4,253 |
201 |
$159K |
| M0115 |
|
3,215 |
159 |
$92K |
| T2025 |
Waiver services; not otherwise specified (nos) |
1,020 |
114 |
$80K |
| T1002 |
Rn services, up to 15 minutes |
1,324 |
800 |
$37K |
| S8990 |
Physical or manipulative therapy performed for maintenance rather than restoration |
359 |
50 |
$28K |
| M0101 |
|
298 |
243 |
$17K |
| S5199 |
Personal care item, nos, each |
431 |
419 |
$17K |
| M0299 |
|
460 |
295 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$6K |
| M0113 |
|
14 |
12 |
$4K |
| 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 |
537 |
522 |
$3K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
146 |
99 |
$2K |
| M0315 |
|
24 |
24 |
$577.19 |