| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
19,985 |
4,070 |
$13.96M |
| H2014 |
Skills train and dev, 15 min |
33,861 |
1,920 |
$1.57M |
| M0167 |
|
23,504 |
624 |
$1.44M |
| M0123 |
|
12,854 |
534 |
$979K |
| T2020 |
Day habil waiver per diem |
1,134 |
968 |
$682K |
| M0122 |
|
7,650 |
318 |
$555K |
| M0125 |
|
5,607 |
232 |
$527K |
| T2025 |
Waiver service, nos |
6,466 |
902 |
$510K |
| M0116 |
|
13,293 |
762 |
$456K |
| S8990 |
Pt or manip for maint |
3,196 |
433 |
$316K |
| D0120 |
|
675 |
648 |
$295K |
| M0118 |
|
5,670 |
289 |
$218K |
| H2019 |
Ther behav svc, per 15 min |
1,420 |
626 |
$181K |
| M0171 |
|
1,645 |
339 |
$154K |
| M0115 |
|
4,245 |
282 |
$133K |
| T1002 |
Rn services up to 15 minutes |
1,633 |
957 |
$121K |
| M0113 |
|
311 |
300 |
$118K |
| M0299 |
|
1,309 |
828 |
$58K |
| M0135 |
|
460 |
75 |
$46K |
| S5199 |
Personal care item nos each |
707 |
630 |
$43K |
| M0315 |
|
952 |
918 |
$31K |
| M0133 |
|
226 |
143 |
$23K |
| M0101 |
|
354 |
296 |
$21K |
| H2025 |
Supp maint employ, 15 min |
495 |
474 |
$9K |
| M0248 |
Sotrovimab inf, home admin |
989 |
891 |
$5K |
| M0154 |
|
613 |
382 |
$4K |