| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
25,524 |
5,423 |
$15.67M |
| H2014 |
Skills training and development, per 15 minutes |
34,268 |
1,668 |
$1.56M |
| M0123 |
|
17,646 |
709 |
$1.34M |
| M0122 |
|
16,226 |
660 |
$1.18M |
| M0150 |
|
6,940 |
276 |
$1.13M |
| M0125 |
|
11,178 |
458 |
$1.05M |
| T2020 |
Day habilitation, waiver; per diem |
6,933 |
1,158 |
$847K |
| M0124 |
|
6,943 |
276 |
$827K |
| M0152 |
|
4,022 |
156 |
$694K |
| T2016 |
Habilitation, residential, waiver; per diem |
5,648 |
344 |
$649K |
| M0354 |
|
5,026 |
305 |
$613K |
| M0116 |
|
14,517 |
713 |
$491K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
4,950 |
1,286 |
$463K |
| D0120 |
Periodic oral evaluation - established patient |
809 |
773 |
$448K |
| M0118 |
|
8,234 |
383 |
$319K |
| T2025 |
Waiver services; not otherwise specified (nos) |
4,242 |
710 |
$290K |
| M0113 |
|
464 |
434 |
$212K |
| M0117 |
|
4,135 |
188 |
$197K |
| M0133 |
|
1,580 |
619 |
$152K |
| M0115 |
|
4,228 |
245 |
$132K |
| T1002 |
Rn services, up to 15 minutes |
4,743 |
1,608 |
$121K |
| S8990 |
Physical or manipulative therapy performed for maintenance rather than restoration |
1,358 |
216 |
$108K |
| M0372 |
|
4,334 |
413 |
$95K |
| M0299 |
|
2,988 |
1,000 |
$60K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
3,508 |
1,812 |
$55K |
| M0101 |
|
669 |
567 |
$47K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
383 |
336 |
$35K |
| M0315 |
|
1,042 |
994 |
$34K |
| M0171 |
|
483 |
66 |
$27K |
| M0298 |
|
1,433 |
844 |
$21K |
| 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 |
1,009 |
912 |
$6K |
| S5199 |
Personal care item, nos, each |
52 |
51 |
$2K |