| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
3,950 |
1,341 |
$3.65M |
| H2014 |
Skills training and development, per 15 minutes |
12,698 |
478 |
$430K |
| M0123 |
|
5,562 |
224 |
$423K |
| M0122 |
|
3,387 |
144 |
$246K |
| T2020 |
Day habilitation, waiver; per diem |
1,111 |
238 |
$140K |
| T1002 |
Rn services, up to 15 minutes |
2,692 |
1,004 |
$74K |
| M0116 |
|
2,012 |
117 |
$63K |
| D0120 |
Periodic oral evaluation - established patient |
115 |
107 |
$34K |
| M0299 |
|
857 |
395 |
$29K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
2,023 |
1,153 |
$26K |
| M0298 |
|
1,029 |
625 |
$11K |
| M0113 |
|
13 |
12 |
$3K |
| M0315 |
|
68 |
65 |
$1K |