| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
6,582 |
2,196 |
$7.95M |
| H2014 |
Skills train and dev, 15 min |
19,200 |
975 |
$1.02M |
| M0150 |
|
5,689 |
204 |
$915K |
| T2020 |
Day habil waiver per diem |
3,099 |
604 |
$537K |
| M0123 |
|
6,581 |
235 |
$501K |
| M0116 |
|
9,291 |
444 |
$325K |
| M0122 |
|
4,018 |
144 |
$292K |
| D0120 |
|
238 |
218 |
$141K |
| M0115 |
|
3,168 |
153 |
$100K |
| M0113 |
|
121 |
104 |
$73K |
| T1002 |
Rn services up to 15 minutes |
1,397 |
889 |
$51K |
| H2019 |
Ther behav svc, per 15 min |
1,063 |
540 |
$44K |
| T1003 |
Lpn/lvn services up to 15min |
2,136 |
1,405 |
$42K |
| M0133 |
|
600 |
263 |
$30K |
| M0299 |
|
817 |
449 |
$27K |
| M0298 |
|
1,354 |
800 |
$22K |
| M0315 |
|
120 |
115 |
$5K |
| A9153 |
Multi-vitamin nos |
143 |
139 |
$2K |
| M0248 |
Sotrovimab inf, home admin |
154 |
148 |
$323.68 |