| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
11,834 |
2,422 |
$5.84M |
| M0123 |
|
17,364 |
707 |
$1.32M |
| M0124 |
|
6,269 |
255 |
$747K |
| H2014 |
Skills training and development, per 15 minutes |
12,623 |
646 |
$591K |
| T2016 |
Habilitation, residential, waiver; per diem |
6,296 |
293 |
$556K |
| M0125 |
|
5,395 |
224 |
$508K |
| M0122 |
|
6,792 |
273 |
$493K |
| T2020 |
Day habilitation, waiver; per diem |
2,049 |
402 |
$287K |
| M0116 |
|
5,663 |
319 |
$180K |
| M0117 |
|
2,126 |
112 |
$97K |
| M0101 |
|
302 |
190 |
$45K |
| M0118 |
|
710 |
38 |
$26K |
| M0113 |
|
17 |
14 |
$18K |
| T1002 |
Rn services, up to 15 minutes |
91 |
55 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$6K |
| M0299 |
|
99 |
83 |
$3K |
| 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 |
114 |
108 |
$2K |
| M0315 |
|
16 |
15 |
$1K |