| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
73,762 |
2,987 |
$13.55M |
| M0150 |
|
11,783 |
474 |
$1.91M |
| H2014 |
Skills training and development, per 15 minutes |
37,874 |
2,003 |
$1.55M |
| M0166 |
|
9,892 |
398 |
$1.51M |
| M0149 |
|
5,345 |
219 |
$811K |
| T2020 |
Day habilitation, waiver; per diem |
13,863 |
884 |
$538K |
| M0116 |
|
9,425 |
516 |
$310K |
| M0115 |
|
10,062 |
658 |
$299K |
| D0120 |
Periodic oral evaluation - established patient |
439 |
388 |
$172K |
| M0113 |
|
109 |
101 |
$35K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
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 |
Ongoing support to maintain employment, per 15 minutes |
626 |
101 |
$9K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
605 |
332 |
$6K |
| M0298 |
|
574 |
334 |
$5K |
| 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 |
1,038 |
913 |
$4K |
| S5199 |
Personal care item, nos, each |
18 |
18 |
$646.19 |
| A4927 |
Gloves, non-sterile, per 100 |
12 |
12 |
$265.27 |