| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
88,787 |
3,084 |
$12.02M |
| H2014 |
Skills training and development, per 15 minutes |
21,007 |
1,343 |
$1.19M |
| M0150 |
|
6,920 |
287 |
$1.11M |
| M0122 |
|
7,998 |
324 |
$580K |
| T2020 |
Day habilitation, waiver; per diem |
10,283 |
606 |
$475K |
| M0123 |
|
3,422 |
120 |
$261K |
| M0116 |
|
7,626 |
403 |
$257K |
| T1002 |
Rn services, up to 15 minutes |
5,975 |
1,935 |
$183K |
| M0115 |
|
3,662 |
191 |
$115K |
| M0152 |
|
539 |
24 |
$91K |
| M0118 |
|
1,861 |
99 |
$70K |
| M0299 |
|
2,228 |
600 |
$59K |
| D0120 |
Periodic oral evaluation - established patient |
84 |
75 |
$41K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
380 |
252 |
$36K |
| M0113 |
|
44 |
41 |
$14K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
360 |
171 |
$7K |
| M0101 |
|
27 |
25 |
$3K |
| M0315 |
|
57 |
56 |
$2K |
| 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 |
12 |
12 |
$140.04 |