| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
7,971 |
2,029 |
$8.95M |
| H2014 |
Skills training and development, per 15 minutes |
22,123 |
1,021 |
$1.08M |
| M0150 |
|
6,013 |
241 |
$971K |
| M0152 |
|
4,685 |
186 |
$823K |
| T2020 |
Day habilitation, waiver; per diem |
2,908 |
578 |
$426K |
| M0116 |
|
7,825 |
408 |
$278K |
| M0118 |
|
3,699 |
195 |
$152K |
| M0167 |
|
717 |
24 |
$136K |
| D0120 |
|
130 |
124 |
$106K |
| T1002 |
Rn services, up to 15 minutes |
4,030 |
1,579 |
$96K |
| M0115 |
|
2,538 |
132 |
$83K |
| M0113 |
|
55 |
50 |
$45K |
| M0299 |
|
1,720 |
768 |
$41K |
| M0315 |
|
134 |
132 |
$9K |
| M0298 |
|
731 |
325 |
$8K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
718 |
301 |
$8K |
| M0133 |
|
154 |
96 |
$4K |
| M0101 |
|
67 |
55 |
$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 |
13 |
13 |
$45.85 |