| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
34,806 |
5,498 |
$14.59M |
| M0123 |
|
24,419 |
981 |
$1.86M |
| M0124 |
|
11,955 |
485 |
$1.42M |
| H2014 |
Skills training and development, per 15 minutes |
29,275 |
1,619 |
$1.34M |
| M0125 |
|
12,938 |
526 |
$1.22M |
| M0122 |
|
12,868 |
516 |
$934K |
| T2020 |
Day habilitation, waiver; per diem |
5,921 |
1,059 |
$734K |
| M0116 |
|
11,715 |
641 |
$367K |
| M0117 |
|
7,069 |
380 |
$328K |
| D0120 |
|
807 |
755 |
$323K |
| M0118 |
|
6,155 |
345 |
$231K |
| T1002 |
Rn services, up to 15 minutes |
5,036 |
2,651 |
$200K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
11,836 |
3,595 |
$195K |
| M0113 |
|
315 |
304 |
$114K |
| M0299 |
|
3,033 |
1,511 |
$102K |
| M0115 |
|
3,372 |
232 |
$97K |
| M0298 |
|
4,152 |
1,665 |
$57K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
456 |
418 |
$55K |
| M0101 |
|
555 |
492 |
$36K |
| M0133 |
|
142 |
48 |
$24K |
| M0315 |
|
919 |
888 |
$23K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
103 |
36 |
$11K |
| 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 |
1,604 |
1,472 |
$9K |
| S5199 |
Personal care item, nos, each |
597 |
582 |
$9K |