| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
61,745 |
3,341 |
$13.08M |
| T2026 |
Special childcare waiver/d |
53,916 |
2,664 |
$7.78M |
| M0151 |
|
11,461 |
445 |
$2.25M |
| M0152 |
|
5,929 |
235 |
$1.04M |
| H2014 |
Skills train and dev, 15 min |
17,613 |
920 |
$830K |
| M0150 |
|
4,878 |
183 |
$787K |
| H2032 |
Activity therapy, per 15 min |
1,017 |
838 |
$760K |
| 97124 |
|
1,753 |
1,246 |
$634K |
| M0124 |
|
5,297 |
202 |
$631K |
| T2020 |
Day habil waiver per diem |
10,940 |
574 |
$544K |
| M0123 |
|
6,269 |
246 |
$477K |
| M0117 |
|
8,589 |
372 |
$447K |
| M0125 |
|
3,201 |
133 |
$301K |
| G0176 |
Opps/php/iop; activity thrpy |
1,478 |
1,079 |
$299K |
| M0122 |
|
3,669 |
144 |
$266K |
| M0116 |
|
6,140 |
296 |
$218K |
| H2019 |
Ther behav svc, per 15 min |
2,253 |
968 |
$195K |
| M0118 |
|
4,293 |
188 |
$183K |
| T1002 |
Rn services up to 15 minutes |
4,980 |
1,726 |
$148K |
| G0648 |
|
2,448 |
1,278 |
$73K |
| M0299 |
|
2,009 |
727 |
$69K |
| D0120 |
|
57 |
55 |
$57K |
| M0133 |
|
701 |
309 |
$48K |
| A9153 |
Multi-vitamin nos |
677 |
589 |
$33K |
| G0649 |
|
401 |
380 |
$29K |
| M0113 |
|
27 |
26 |
$28K |
| T1003 |
Lpn/lvn services up to 15min |
1,384 |
728 |
$28K |
| M0101 |
|
511 |
436 |
$16K |
| M0298 |
|
521 |
331 |
$10K |
| M0248 |
Sotrovimab inf, home admin |
1,158 |
1,021 |
$5K |
| G0650 |
|
27 |
27 |
$3K |
| M0315 |
|
38 |
37 |
$3K |
| S5199 |
Personal care item nos each |
17 |
13 |
$795.19 |