| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
8,922 |
1,817 |
$6.44M |
| H2014 |
Skills training and development, per 15 minutes |
14,770 |
766 |
$814K |
| M0123 |
|
4,916 |
203 |
$374K |
| T2020 |
Day habilitation, waiver; per diem |
1,374 |
349 |
$267K |
| M0116 |
|
6,395 |
260 |
$191K |
| T1002 |
Rn services, up to 15 minutes |
4,125 |
1,465 |
$166K |
| M0299 |
|
1,953 |
687 |
$57K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
2,197 |
625 |
$44K |
| M0150 |
|
263 |
12 |
$39K |
| M0298 |
|
265 |
58 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
13 |
12 |
$3K |
| M0101 |
|
13 |
13 |
$2K |
| M0315 |
|
30 |
24 |
$541.32 |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
38 |
26 |
$184.35 |