| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
11,823 |
2,705 |
$8.00M |
| M0123 |
|
9,614 |
384 |
$732K |
| M0125 |
|
6,534 |
265 |
$615K |
| T2020 |
Day habilitation, waiver; per diem |
2,544 |
634 |
$464K |
| M0167 |
|
2,817 |
126 |
$434K |
| H2014 |
Skills training and development, per 15 minutes |
9,119 |
486 |
$410K |
| M0122 |
|
5,355 |
217 |
$389K |
| M0116 |
|
9,789 |
449 |
$318K |
| M0118 |
|
4,835 |
233 |
$186K |
| M0115 |
|
4,749 |
221 |
$142K |
| T1002 |
Rn services, up to 15 minutes |
1,067 |
685 |
$31K |
| M0299 |
|
1,088 |
696 |
$30K |
| D0120 |
Periodic oral evaluation - established patient |
78 |
52 |
$17K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
1,511 |
1,387 |
$12K |
| M0113 |
|
25 |
24 |
$11K |
| M0298 |
|
808 |
666 |
$10K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
81 |
24 |
$9K |
| M0133 |
|
62 |
32 |
$6K |
| M0315 |
|
37 |
36 |
$966.96 |