| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
24,235 |
1,135 |
$5.27M |
| H2014 |
Skills training and development, per 15 minutes |
9,570 |
489 |
$621K |
| T2020 |
Day habilitation, waiver; per diem |
9,955 |
612 |
$542K |
| M0152 |
|
2,135 |
79 |
$373K |
| M0150 |
|
1,773 |
67 |
$286K |
| T1002 |
Rn services, up to 15 minutes |
8,360 |
1,006 |
$177K |
| M0116 |
|
2,345 |
129 |
$81K |
| M0299 |
|
1,859 |
436 |
$80K |
| M0118 |
|
1,512 |
79 |
$61K |
| D0120 |
Periodic oral evaluation - established patient |
83 |
76 |
$43K |
| M0113 |
|
24 |
24 |
$11K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
100 |
36 |
$5K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
32 |
26 |
$3K |
| M0315 |
|
58 |
55 |
$2K |
| T2025 |
Waiver services; not otherwise specified (nos) |
31 |
31 |
$2K |
| 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 |
38 |
26 |
$194.92 |