| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
52,140 |
2,605 |
$8.44M |
| M0150 |
|
7,047 |
285 |
$1.14M |
| M0123 |
|
9,592 |
387 |
$730K |
| H2014 |
Skills training and development, per 15 minutes |
16,949 |
909 |
$725K |
| T2020 |
Day habilitation, waiver; per diem |
7,435 |
685 |
$469K |
| M0125 |
|
4,604 |
185 |
$433K |
| M0116 |
|
10,677 |
545 |
$344K |
| D0120 |
Periodic oral evaluation - established patient |
180 |
172 |
$138K |
| M0118 |
|
3,396 |
183 |
$127K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
1,025 |
642 |
$100K |
| M0122 |
|
890 |
36 |
$65K |
| T1002 |
Rn services, up to 15 minutes |
1,673 |
929 |
$44K |
| M0299 |
|
2,176 |
933 |
$35K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
2,301 |
464 |
$31K |
| M0113 |
|
46 |
45 |
$29K |
| M0133 |
|
528 |
375 |
$27K |
| M0101 |
|
73 |
68 |
$9K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
162 |
141 |
$5K |
| M0298 |
|
482 |
235 |
$5K |
| M0115 |
|
159 |
12 |
$4K |
| M0315 |
|
73 |
71 |
$3K |
| 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 |
291 |
257 |
$1K |