| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
156,139 |
8,287 |
$22.19M |
| M0123 |
|
36,456 |
1,462 |
$2.78M |
| H2014 |
Skills training and development, per 15 minutes |
52,761 |
2,466 |
$1.92M |
| M0125 |
|
18,756 |
759 |
$1.76M |
| M0122 |
|
22,414 |
907 |
$1.63M |
| T2020 |
Day habilitation, waiver; per diem |
20,512 |
1,664 |
$1.15M |
| M0124 |
|
8,701 |
351 |
$1.04M |
| M0150 |
|
4,740 |
192 |
$768K |
| M0116 |
|
18,572 |
1,086 |
$634K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
5,024 |
1,413 |
$546K |
| D0120 |
Periodic oral evaluation - established patient |
1,207 |
1,139 |
$511K |
| M0118 |
|
10,297 |
569 |
$412K |
| T1002 |
Rn services, up to 15 minutes |
10,739 |
4,841 |
$339K |
| M0133 |
|
1,960 |
607 |
$243K |
| M0115 |
|
7,117 |
480 |
$223K |
| M0113 |
|
478 |
443 |
$188K |
| M0117 |
|
3,612 |
189 |
$181K |
| M0299 |
|
4,922 |
2,320 |
$147K |
| T2025 |
Waiver services; not otherwise specified (nos) |
546 |
133 |
$37K |
| M0315 |
|
1,301 |
1,255 |
$31K |
| M0101 |
|
99 |
93 |
$19K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
98 |
96 |
$15K |
| M0171 |
|
131 |
24 |
$10K |
| 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 |
246 |
236 |
$3K |