| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
14,351 |
3,579 |
$10.43M |
| T2016 |
Habilitation, residential, waiver; per diem |
17,363 |
1,063 |
$1.55M |
| M0123 |
|
14,155 |
569 |
$1.08M |
| H2014 |
Skills training and development, per 15 minutes |
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 habilitation, waiver; per diem |
4,563 |
774 |
$398K |
| D0120 |
Periodic oral evaluation - established patient |
832 |
791 |
$380K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
3,620 |
494 |
$360K |
| M0116 |
|
9,581 |
535 |
$300K |
| M0240 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring, subsequent repeat doses |
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 15 minutes |
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 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
1,507 |
150 |
$43K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
538 |
209 |
$26K |
| M0315 |
|
660 |
640 |
$24K |
| M0133 |
|
485 |
286 |
$19K |
| M0372 |
|
1,247 |
162 |
$17K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
186 |
167 |
$14K |
| M0118 |
|
223 |
12 |
$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 |
982 |
881 |
$8K |
| S5199 |
Personal care item, nos, each |
63 |
63 |
$4K |