| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
13,959 |
3,138 |
$13.13M |
| H2014 |
Skills training and development, per 15 minutes |
34,199 |
1,607 |
$1.59M |
| M0167 |
|
9,007 |
353 |
$1.46M |
| M0150 |
|
6,203 |
241 |
$1.00M |
| M0166 |
|
5,071 |
200 |
$773K |
| T2020 |
Day habilitation, waiver; per diem |
4,482 |
744 |
$575K |
| M0123 |
|
5,386 |
211 |
$410K |
| T1002 |
Rn services, up to 15 minutes |
10,781 |
2,208 |
$370K |
| M0116 |
|
11,013 |
713 |
$367K |
| M0299 |
|
7,230 |
1,431 |
$217K |
| D0120 |
Periodic oral evaluation - established patient |
392 |
376 |
$162K |
| M0115 |
|
4,689 |
284 |
$145K |
| M0118 |
|
2,743 |
145 |
$110K |
| M0113 |
|
249 |
223 |
$85K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
358 |
160 |
$29K |
| M0101 |
|
328 |
253 |
$20K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
474 |
447 |
$11K |
| M0315 |
|
326 |
306 |
$8K |
| 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 |
632 |
568 |
$2K |