| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
13,302 |
2,955 |
$7.41M |
| H2014 |
Skills training and development, per 15 minutes |
15,334 |
749 |
$600K |
| T1002 |
Rn services, up to 15 minutes |
2,187 |
836 |
$74K |
| T2020 |
Day habilitation, waiver; per diem |
595 |
119 |
$71K |
| D0120 |
Periodic oral evaluation - established patient |
142 |
119 |
$52K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
507 |
181 |
$8K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
92 |
31 |
$6K |
| M0315 |
|
126 |
112 |
$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 |
182 |
144 |
$944.23 |