| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
13,288 |
4,163 |
$10.44M |
| M0122 |
|
18,041 |
734 |
$1.31M |
| M0123 |
|
16,614 |
671 |
$1.26M |
| H2014 |
Skills training and development, per 15 minutes |
24,697 |
1,398 |
$1.03M |
| M0125 |
|
6,949 |
281 |
$654K |
| T2020 |
Day habilitation, waiver; per diem |
4,977 |
785 |
$459K |
| D0120 |
Periodic oral evaluation - established patient |
700 |
631 |
$238K |
| M0116 |
|
6,201 |
419 |
$207K |
| T1002 |
Rn services, up to 15 minutes |
6,100 |
2,161 |
$206K |
| M0118 |
|
4,531 |
280 |
$179K |
| M0115 |
|
5,383 |
362 |
$166K |
| T2016 |
Habilitation, residential, waiver; per diem |
1,909 |
99 |
$98K |
| M0299 |
|
2,073 |
992 |
$88K |
| M0113 |
|
232 |
218 |
$68K |
| M0171 |
|
619 |
145 |
$53K |
| T2025 |
Waiver services; not otherwise specified (nos) |
647 |
157 |
$45K |
| M0354 |
|
489 |
24 |
$22K |
| M0315 |
|
754 |
730 |
$17K |
| M0101 |
|
146 |
124 |
$15K |
| 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 |
360 |
300 |
$3K |
| M0372 |
|
108 |
12 |
$2K |
| M0307 |
|
20 |
15 |
$520.72 |