| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
12,986 |
2,370 |
$9.13M |
| M0167 |
|
8,365 |
346 |
$1.35M |
| H2014 |
Skills training and development, per 15 minutes |
24,470 |
1,327 |
$1.17M |
| M0169 |
|
4,663 |
194 |
$817K |
| T2020 |
Day habilitation, waiver; per diem |
6,946 |
641 |
$476K |
| M0123 |
|
6,087 |
247 |
$463K |
| M0116 |
|
9,778 |
572 |
$330K |
| M0118 |
|
5,478 |
313 |
$216K |
| D0120 |
Periodic oral evaluation - established patient |
226 |
226 |
$84K |
| T1002 |
Rn services, up to 15 minutes |
860 |
634 |
$78K |
| M0113 |
|
138 |
115 |
$57K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
753 |
638 |
$50K |
| M0101 |
|
618 |
517 |
$49K |
| M0299 |
|
478 |
312 |
$30K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
2,360 |
1,446 |
$22K |
| M0490 |
|
91 |
13 |
$15K |
| M0298 |
|
1,141 |
687 |
$10K |
| 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 |
1,283 |
1,085 |
$7K |
| M0315 |
|
197 |
197 |
$6K |