| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
4,942 |
1,504 |
$5.96M |
| H2014 |
Skills training and development, per 15 minutes |
24,042 |
901 |
$1.01M |
| T2020 |
Day habilitation, waiver; per diem |
2,823 |
413 |
$275K |
| M0116 |
|
8,229 |
363 |
$274K |
| M0150 |
|
1,492 |
60 |
$257K |
| M0123 |
|
2,556 |
86 |
$195K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
1,257 |
563 |
$147K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
5,168 |
1,138 |
$61K |
| T1002 |
Rn services, up to 15 minutes |
1,378 |
629 |
$58K |
| M0118 |
|
986 |
48 |
$46K |
| M0113 |
|
90 |
90 |
$37K |
| M0133 |
|
314 |
183 |
$21K |
| D0120 |
Periodic oral evaluation - established patient |
55 |
31 |
$13K |
| M0298 |
|
605 |
251 |
$8K |
| M0315 |
|
119 |
119 |
$4K |
| M0299 |
|
238 |
149 |
$4K |
| M0101 |
|
31 |
29 |
$589.41 |
| 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 |
43 |
40 |
$105.21 |