| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
61,745 |
3,341 |
$13.08M |
| T2026 |
Specialized childcare, waiver; per diem |
53,916 |
2,664 |
$7.78M |
| M0151 |
|
11,461 |
445 |
$2.25M |
| M0152 |
|
5,929 |
235 |
$1.04M |
| H2014 |
Skills training and development, per 15 minutes |
17,613 |
920 |
$830K |
| M0150 |
|
4,878 |
183 |
$787K |
| H2032 |
Activity therapy, per 15 minutes |
1,017 |
838 |
$760K |
| 97124 |
|
1,753 |
1,246 |
$634K |
| M0124 |
|
5,297 |
202 |
$631K |
| T2020 |
Day habilitation, waiver; per diem |
10,940 |
574 |
$544K |
| M0123 |
|
6,269 |
246 |
$477K |
| M0117 |
|
8,589 |
372 |
$447K |
| M0125 |
|
3,201 |
133 |
$301K |
| G0176 |
Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
1,478 |
1,079 |
$299K |
| M0122 |
|
3,669 |
144 |
$266K |
| M0116 |
|
6,140 |
296 |
$218K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
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 |
Periodic oral evaluation - established patient |
57 |
55 |
$57K |
| M0133 |
|
701 |
309 |
$48K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
677 |
589 |
$33K |
| G0649 |
|
401 |
380 |
$29K |
| M0113 |
|
27 |
26 |
$28K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
1,384 |
728 |
$28K |
| M0101 |
|
511 |
436 |
$16K |
| M0298 |
|
521 |
331 |
$10K |
| 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 |
1,158 |
1,021 |
$5K |
| G0650 |
|
27 |
27 |
$3K |
| M0315 |
|
38 |
37 |
$3K |
| S5199 |
Personal care item, nos, each |
17 |
13 |
$795.19 |