| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
46,116 |
2,717 |
$9.55M |
| H2014 |
Skills train and dev, 15 min |
23,675 |
1,308 |
$1.25M |
| M0150 |
|
5,256 |
208 |
$852K |
| M0123 |
|
9,045 |
364 |
$689K |
| M0122 |
|
5,440 |
217 |
$395K |
| T2020 |
Day habil waiver per diem |
3,010 |
571 |
$385K |
| M0125 |
|
3,780 |
159 |
$356K |
| M0116 |
|
12,368 |
573 |
$315K |
| H2019 |
Ther behav svc, per 15 min |
2,967 |
1,138 |
$217K |
| M0115 |
|
5,976 |
275 |
$142K |
| T1002 |
Rn services up to 15 minutes |
2,928 |
1,050 |
$141K |
| M0133 |
|
674 |
362 |
$80K |
| T1003 |
Lpn/lvn services up to 15min |
3,305 |
755 |
$79K |
| M0118 |
|
1,984 |
111 |
$71K |
| M0299 |
|
1,543 |
741 |
$60K |
| M0298 |
|
1,625 |
497 |
$34K |
| M0113 |
|
32 |
29 |
$16K |
| M0101 |
|
75 |
66 |
$10K |
| M0315 |
|
58 |
56 |
$2K |
| M0248 |
Sotrovimab inf, home admin |
16 |
14 |
$125.04 |