| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
73,762 |
2,987 |
$13.55M |
| M0150 |
|
11,783 |
474 |
$1.91M |
| H2014 |
Skills train and dev, 15 min |
37,874 |
2,003 |
$1.55M |
| M0166 |
|
9,892 |
398 |
$1.51M |
| M0149 |
|
5,345 |
219 |
$811K |
| T2020 |
Day habil waiver per diem |
13,863 |
884 |
$538K |
| M0116 |
|
9,425 |
516 |
$310K |
| M0115 |
|
10,062 |
658 |
$299K |
| D0120 |
|
439 |
388 |
$172K |
| M0113 |
|
109 |
101 |
$35K |
| A9153 |
Multi-vitamin nos |
532 |
507 |
$22K |
| T1002 |
Rn services up to 15 minutes |
572 |
280 |
$14K |
| M0101 |
|
330 |
265 |
$14K |
| M0299 |
|
157 |
93 |
$11K |
| M0315 |
|
401 |
388 |
$11K |
| H2025 |
Supp maint employ, 15 min |
626 |
101 |
$9K |
| T1003 |
Lpn/lvn services up to 15min |
605 |
332 |
$6K |
| M0298 |
|
574 |
334 |
$5K |
| M0248 |
Sotrovimab inf, home admin |
1,038 |
913 |
$4K |
| S5199 |
Personal care item nos each |
18 |
18 |
$646.19 |
| A4927 |
Non-sterile gloves |
12 |
12 |
$265.27 |