| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
14,857 |
3,109 |
$10.78M |
| M0166 |
|
10,233 |
414 |
$1.46M |
| H2014 |
Skills train and dev, 15 min |
30,400 |
1,603 |
$1.23M |
| M0167 |
|
7,453 |
303 |
$1.13M |
| M0123 |
|
8,975 |
355 |
$683K |
| T2020 |
Day habil waiver per diem |
4,047 |
783 |
$515K |
| M0116 |
|
11,988 |
563 |
$355K |
| M0122 |
|
4,691 |
189 |
$340K |
| M0115 |
|
11,905 |
512 |
$313K |
| T1002 |
Rn services up to 15 minutes |
2,939 |
1,327 |
$148K |
| T1003 |
Lpn/lvn services up to 15min |
5,187 |
1,341 |
$113K |
| D0120 |
|
364 |
351 |
$93K |
| H2019 |
Ther behav svc, per 15 min |
1,580 |
388 |
$81K |
| D4355 |
|
299 |
291 |
$21K |
| M0113 |
|
44 |
44 |
$20K |
| M0299 |
|
475 |
266 |
$18K |
| M0298 |
|
420 |
150 |
$13K |
| D9920 |
|
191 |
191 |
$9K |
| M0101 |
|
224 |
204 |
$7K |
| A9153 |
Multi-vitamin nos |
659 |
627 |
$6K |
| M0315 |
|
170 |
167 |
$6K |
| 90832 |
|
171 |
99 |
$6K |
| H2026 |
Supp maint employ, per diem |
154 |
36 |
$6K |
| 90837 |
|
109 |
49 |
$5K |
| D0274 |
|
89 |
82 |
$3K |
| M0248 |
Sotrovimab inf, home admin |
899 |
839 |
$2K |
| D0603 |
|
131 |
131 |
$0.00 |