| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
25,100 |
1,516 |
$4.84M |
| H2014 |
Skills training and development, per 15 minutes |
37,724 |
1,481 |
$784K |
| M0166 |
|
5,125 |
206 |
$731K |
| M0123 |
|
5,153 |
204 |
$392K |
| T2020 |
Day habilitation, waiver; per diem |
12,227 |
714 |
$369K |
| M0115 |
|
7,820 |
463 |
$220K |
| M0116 |
|
5,888 |
346 |
$181K |
| 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 |
4,122 |
290 |
$114K |
| D0120 |
Periodic oral evaluation - established patient |
355 |
334 |
$102K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
5,004 |
1,296 |
$42K |
| M0372 |
|
3,387 |
167 |
$30K |
| M0419 |
|
2,812 |
191 |
$28K |
| T1002 |
Rn services, up to 15 minutes |
1,162 |
610 |
$24K |
| M0298 |
|
2,045 |
538 |
$18K |
| T2016 |
Habilitation, residential, waiver; per diem |
1,742 |
396 |
$18K |
| M0113 |
|
14 |
14 |
$4K |
| M0299 |
|
154 |
129 |
$4K |
| M0315 |
|
134 |
131 |
$3K |
| M0360 |
|
47 |
15 |
$586.24 |