| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
30,610 |
2,678 |
$9.25M |
| H2014 |
Skills train and dev, 15 min |
25,612 |
1,429 |
$1.28M |
| M0150 |
|
5,259 |
212 |
$851K |
| T2020 |
Day habil waiver per diem |
4,354 |
752 |
$584K |
| M0123 |
|
6,735 |
272 |
$513K |
| S8990 |
Pt or manip for maint |
6,057 |
812 |
$467K |
| T2025 |
Waiver service, nos |
4,833 |
534 |
$331K |
| M0116 |
|
7,828 |
445 |
$267K |
| H2019 |
Ther behav svc, per 15 min |
1,731 |
923 |
$219K |
| T1002 |
Rn services up to 15 minutes |
8,602 |
2,160 |
$198K |
| M0117 |
|
3,744 |
209 |
$186K |
| M0118 |
|
4,331 |
255 |
$169K |
| M0171 |
|
2,121 |
256 |
$156K |
| D0120 |
|
373 |
361 |
$130K |
| M0122 |
|
1,502 |
51 |
$109K |
| M0133 |
|
608 |
375 |
$76K |
| M0135 |
|
820 |
117 |
$65K |
| T1003 |
Lpn/lvn services up to 15min |
4,928 |
708 |
$59K |
| M0299 |
|
2,116 |
916 |
$56K |
| M0298 |
|
3,040 |
470 |
$35K |
| A9153 |
Multi-vitamin nos |
562 |
452 |
$32K |
| M0113 |
|
89 |
84 |
$31K |
| M0101 |
|
499 |
343 |
$25K |
| M0315 |
|
393 |
381 |
$11K |
| M0248 |
Sotrovimab inf, home admin |
977 |
771 |
$4K |
| S5199 |
Personal care item nos each |
27 |
26 |
$1K |