| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
1,634 |
1,496 |
$4.05M |
| H2014 |
Skills training and development, per 15 minutes |
13,739 |
848 |
$542K |
| M0123 |
|
5,131 |
171 |
$391K |
| S8990 |
Physical or manipulative therapy performed for maintenance rather than restoration |
2,478 |
303 |
$221K |
| T2020 |
Day habilitation, waiver; per diem |
1,078 |
404 |
$187K |
| T2025 |
Waiver services; not otherwise specified (nos) |
2,551 |
563 |
$176K |
| M0116 |
|
2,506 |
169 |
$77K |
| S5101 |
Day care services, adult; per half day |
353 |
203 |
$55K |
| T2031 |
Assisted living; waiver, per diem |
42 |
36 |
$53K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
348 |
144 |
$30K |
| M0171 |
|
297 |
82 |
$21K |
| T1002 |
Rn services, up to 15 minutes |
232 |
182 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$9K |
| M0299 |
|
23 |
13 |
$1K |