| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
114,897 |
3,884 |
$12.39M |
| H2014 |
Skills training and development, per 15 minutes |
35,476 |
2,022 |
$1.85M |
| T2016 |
Habilitation, residential, waiver; per diem |
7,397 |
420 |
$983K |
| M0150 |
|
5,962 |
241 |
$966K |
| M0152 |
|
5,125 |
205 |
$895K |
| M0123 |
|
11,560 |
466 |
$880K |
| T2020 |
Day habilitation, waiver; per diem |
14,648 |
800 |
$573K |
| M0122 |
|
6,604 |
269 |
$479K |
| M0116 |
|
10,677 |
534 |
$366K |
| M0354 |
|
2,165 |
146 |
$270K |
| M0118 |
|
5,834 |
278 |
$230K |
| T1002 |
Rn services, up to 15 minutes |
3,732 |
1,658 |
$186K |
| D0120 |
Periodic oral evaluation - established patient |
498 |
415 |
$141K |
| M0115 |
|
3,997 |
220 |
$123K |
| M0299 |
|
885 |
397 |
$33K |
| M0125 |
|
335 |
12 |
$32K |
| S8990 |
Physical or manipulative therapy performed for maintenance rather than restoration |
343 |
42 |
$27K |
| M0113 |
|
41 |
39 |
$13K |
| M0315 |
|
298 |
280 |
$7K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
63 |
27 |
$3K |
| M0101 |
|
34 |
16 |
$2K |
| 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 |
19 |
15 |
$168.22 |