| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
8,959 |
3,092 |
$10.94M |
| M0150 |
|
7,441 |
303 |
$1.20M |
| H2014 |
Skills train and dev, 15 min |
17,639 |
1,357 |
$784K |
| M0122 |
|
8,994 |
359 |
$653K |
| M0123 |
|
8,145 |
322 |
$620K |
| T2020 |
Day habil waiver per diem |
9,465 |
722 |
$396K |
| M0116 |
|
8,470 |
563 |
$288K |
| D0120 |
|
595 |
575 |
$275K |
| T1003 |
Lpn/lvn services up to 15min |
14,935 |
2,351 |
$213K |
| M0298 |
|
7,240 |
1,657 |
$117K |
| M0115 |
|
3,722 |
275 |
$110K |
| M0113 |
|
229 |
214 |
$96K |
| T1002 |
Rn services up to 15 minutes |
996 |
413 |
$52K |
| M0299 |
|
420 |
213 |
$29K |
| M0315 |
|
702 |
679 |
$26K |
| A9153 |
Multi-vitamin nos |
1,083 |
904 |
$23K |
| M0101 |
|
825 |
653 |
$17K |
| H2019 |
Ther behav svc, per 15 min |
242 |
171 |
$15K |
| M0133 |
|
225 |
125 |
$11K |
| S5199 |
Personal care item nos each |
177 |
167 |
$5K |
| M0248 |
Sotrovimab inf, home admin |
1,927 |
1,619 |
$5K |