| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
564,337 |
36,427 |
$133.35M |
| M0150 |
|
101,303 |
4,139 |
$16.35M |
| H2014 |
Skills train and dev, 15 min |
272,289 |
15,023 |
$13.99M |
| M0152 |
|
56,112 |
2,288 |
$9.84M |
| M0123 |
|
112,749 |
4,554 |
$8.57M |
| M0167 |
|
35,382 |
1,435 |
$5.73M |
| M0122 |
|
76,144 |
3,069 |
$5.52M |
| T2020 |
Day habil waiver per diem |
67,980 |
8,253 |
$5.50M |
| M0116 |
|
250,652 |
10,228 |
$5.29M |
| M0166 |
|
32,200 |
1,312 |
$4.87M |
| M0149 |
|
25,267 |
1,046 |
$3.83M |
| M0151 |
|
18,168 |
719 |
$3.60M |
| M0125 |
|
35,243 |
1,423 |
$3.31M |
| T1002 |
Rn services up to 15 minutes |
77,882 |
21,469 |
$2.93M |
| H2019 |
Ther behav svc, per 15 min |
41,521 |
11,711 |
$2.50M |
| M0118 |
|
100,745 |
4,060 |
$2.46M |
| M0115 |
|
120,335 |
4,916 |
$2.14M |
| M0124 |
|
17,285 |
692 |
$2.06M |
| M0299 |
|
39,305 |
13,143 |
$1.53M |
| T1003 |
Lpn/lvn services up to 15min |
89,912 |
16,462 |
$1.44M |
| T2016 |
Habil res waiver per diem |
12,964 |
724 |
$1.20M |
| M0117 |
|
39,676 |
1,546 |
$1.17M |
| M0113 |
|
2,874 |
2,635 |
$1.15M |
| M0133 |
|
16,631 |
5,720 |
$1.01M |
| M0298 |
|
50,810 |
11,819 |
$840K |
| D9220 |
|
1,820 |
1,713 |
$830K |
| M0354 |
|
5,645 |
459 |
$578K |
| M0101 |
|
5,468 |
4,635 |
$365K |
| D0120 |
|
660 |
635 |
$275K |
| S5199 |
Personal care item nos each |
2,834 |
2,373 |
$161K |
| M0171 |
|
2,036 |
418 |
$141K |
| M0315 |
|
4,577 |
4,407 |
$139K |
| M0372 |
|
8,816 |
886 |
$131K |
| M0135 |
|
1,182 |
208 |
$106K |
| S8990 |
Pt or manip for maint |
1,224 |
185 |
$102K |
| M0248 |
Sotrovimab inf, home admin |
7,421 |
6,646 |
$42K |
| A9153 |
Multi-vitamin nos |
800 |
707 |
$39K |
| T2025 |
Waiver service, nos |
504 |
117 |
$35K |
| M0317 |
|
173 |
167 |
$13K |
| T1016 |
Case management |
257 |
235 |
$9K |
| M0316 |
|
143 |
141 |
$7K |
| M0120 |
|
104 |
87 |
$5K |