| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
31,662 |
3,530 |
$9.56M |
| H2014 |
Skills training and development, per 15 minutes |
22,380 |
1,149 |
$1.02M |
| M0123 |
|
12,467 |
499 |
$949K |
| M0124 |
|
5,904 |
245 |
$704K |
| M0125 |
|
6,339 |
260 |
$596K |
| T2020 |
Day habilitation, waiver; per diem |
1,736 |
667 |
$490K |
| M0122 |
|
5,080 |
203 |
$369K |
| M0116 |
|
7,885 |
399 |
$247K |
| M0118 |
|
4,895 |
257 |
$182K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
1,548 |
436 |
$168K |
| T2025 |
Waiver services; not otherwise specified (nos) |
2,176 |
426 |
$145K |
| T1002 |
Rn services, up to 15 minutes |
2,525 |
1,443 |
$134K |
| D0120 |
Periodic oral evaluation - established patient |
234 |
215 |
$132K |
| M0171 |
|
1,398 |
273 |
$93K |
| M0299 |
|
860 |
479 |
$60K |
| M0117 |
|
1,325 |
72 |
$59K |
| M0133 |
|
488 |
124 |
$40K |
| M0101 |
|
49 |
38 |
$35K |
| M0315 |
|
200 |
185 |
$8K |
| M0113 |
|
14 |
13 |
$6K |
| S8990 |
Physical or manipulative therapy performed for maintenance rather than restoration |
57 |
12 |
$5K |
| 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 |
28 |
25 |
$666.07 |