| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2026 |
Specialized childcare, waiver; per diem |
44,687 |
8,601 |
$31.73M |
| H2016 |
Comprehensive community support services, per diem |
7,424 |
1,697 |
$3.68M |
| 97124 |
|
24,907 |
4,475 |
$2.07M |
| G0100 |
|
11,507 |
2,748 |
$1.49M |
| H2032 |
Activity therapy, per 15 minutes |
6,084 |
1,681 |
$1.21M |
| T2016 |
Habilitation, residential, waiver; per diem |
11,452 |
723 |
$1.16M |
| M0123 |
|
8,245 |
331 |
$628K |
| 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) |
8,493 |
2,126 |
$611K |
| G0648 |
|
44,827 |
6,585 |
$450K |
| H2014 |
Skills training and development, per 15 minutes |
8,469 |
459 |
$412K |
| 97113 |
|
3,931 |
984 |
$355K |
| T1002 |
Rn services, up to 15 minutes |
1,434 |
1,127 |
$187K |
| S8940 |
Equestrian/hippotherapy, per session |
2,021 |
715 |
$151K |
| T2020 |
Day habilitation, waiver; per diem |
4,166 |
265 |
$143K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
1,080 |
182 |
$107K |
| M0122 |
|
1,436 |
52 |
$104K |
| M0360 |
|
22,724 |
689 |
$93K |
| M0116 |
|
2,163 |
134 |
$75K |
| M0240 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring, subsequent repeat doses |
5,814 |
425 |
$22K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
107 |
50 |
$20K |
| D0120 |
Periodic oral evaluation - established patient |
29 |
25 |
$17K |
| M0299 |
|
192 |
133 |
$14K |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
173 |
12 |
$5K |
| M0419 |
|
4,514 |
186 |
$-4044.52 |