| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
8,811 |
1,923 |
$5.96M |
| H2014 |
Skills training and development, per 15 minutes |
15,055 |
818 |
$688K |
| M0150 |
|
4,114 |
156 |
$627K |
| M0123 |
|
6,890 |
279 |
$525K |
| M0122 |
|
4,146 |
157 |
$301K |
| T2020 |
Day habilitation, waiver; per diem |
1,633 |
316 |
$209K |
| M0116 |
|
5,439 |
330 |
$173K |
| T1002 |
Rn services, up to 15 minutes |
2,142 |
497 |
$117K |
| M0299 |
|
1,390 |
326 |
$52K |
| M0115 |
|
1,684 |
121 |
$49K |
| M0113 |
|
27 |
24 |
$9K |
| M0133 |
|
94 |
51 |
$7K |
| M0101 |
|
47 |
40 |
$6K |
| S8990 |
Physical or manipulative therapy performed for maintenance rather than restoration |
73 |
13 |
$5K |
| M0131 |
|
51 |
12 |
$3K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
23 |
13 |
$1K |
| M0315 |
|
12 |
12 |
$472.47 |
| 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 |
32 |
27 |
$299.16 |