| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
63,615 |
2,261 |
$9.73M |
| T2022 |
Case management, per month |
26,007 |
26,005 |
$4.68M |
| H2014 |
Skills train and dev, 15 min |
24,154 |
1,258 |
$1.45M |
| M0150 |
|
6,994 |
279 |
$1.13M |
| T2020 |
Day habil waiver per diem |
10,755 |
587 |
$509K |
| M0152 |
|
2,837 |
100 |
$509K |
| H2019 |
Ther behav svc, per 15 min |
2,817 |
719 |
$353K |
| M0116 |
|
6,298 |
333 |
$195K |
| M0118 |
|
3,947 |
206 |
$150K |
| D0120 |
|
134 |
130 |
$88K |
| T1002 |
Rn services up to 15 minutes |
2,443 |
1,093 |
$47K |
| M0133 |
|
605 |
266 |
$37K |
| M0299 |
|
1,377 |
611 |
$34K |
| M0113 |
|
57 |
52 |
$33K |
| M0122 |
|
447 |
24 |
$32K |
| A9153 |
Multi-vitamin nos |
449 |
408 |
$20K |
| M0298 |
|
630 |
240 |
$7K |
| M0101 |
|
170 |
157 |
$5K |
| T1003 |
Lpn/lvn services up to 15min |
181 |
96 |
$4K |
| M0248 |
Sotrovimab inf, home admin |
603 |
555 |
$2K |
| M0315 |
|
40 |
38 |
$2K |