| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
14,351 |
3,579 |
$10.43M |
| T2016 |
Habil res waiver per diem |
17,363 |
1,063 |
$1.55M |
| M0123 |
|
14,155 |
569 |
$1.08M |
| H2014 |
Skills train and dev, 15 min |
23,561 |
1,406 |
$906K |
| M0354 |
|
7,431 |
499 |
$673K |
| M0122 |
|
7,880 |
308 |
$572K |
| M0360 |
|
5,743 |
422 |
$548K |
| M0125 |
|
4,418 |
161 |
$416K |
| T2020 |
Day habil waiver per diem |
4,563 |
774 |
$398K |
| D0120 |
|
832 |
791 |
$380K |
| S5150 |
Unskilled respite care /15m |
3,620 |
494 |
$360K |
| M0116 |
|
9,581 |
535 |
$300K |
| M0240 |
Casiri and imdev repeat |
2,676 |
386 |
$264K |
| M0113 |
|
277 |
254 |
$126K |
| T1002 |
Rn services up to 15 minutes |
2,597 |
1,189 |
$96K |
| T1003 |
Lpn/lvn services up to 15min |
4,731 |
1,434 |
$90K |
| M0115 |
|
2,203 |
133 |
$64K |
| M0298 |
|
3,685 |
1,180 |
$64K |
| M0299 |
|
1,148 |
768 |
$52K |
| M0101 |
|
445 |
369 |
$51K |
| M0201 |
Pne flu hepb cov home admin |
1,507 |
150 |
$43K |
| H2019 |
Ther behav svc, per 15 min |
538 |
209 |
$26K |
| M0315 |
|
660 |
640 |
$24K |
| M0133 |
|
485 |
286 |
$19K |
| M0372 |
|
1,247 |
162 |
$17K |
| A9153 |
Multi-vitamin nos |
186 |
167 |
$14K |
| M0118 |
|
223 |
12 |
$10K |
| M0248 |
Sotrovimab inf, home admin |
982 |
881 |
$8K |
| S5199 |
Personal care item nos each |
63 |
63 |
$4K |