| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
25,524 |
5,423 |
$15.67M |
| H2014 |
Skills train and dev, 15 min |
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 habil waiver per diem |
6,933 |
1,158 |
$847K |
| M0124 |
|
6,943 |
276 |
$827K |
| M0152 |
|
4,022 |
156 |
$694K |
| T2016 |
Habil res waiver per diem |
5,648 |
344 |
$649K |
| M0354 |
|
5,026 |
305 |
$613K |
| M0116 |
|
14,517 |
713 |
$491K |
| H2019 |
Ther behav svc, per 15 min |
4,950 |
1,286 |
$463K |
| D0120 |
|
809 |
773 |
$448K |
| M0118 |
|
8,234 |
383 |
$319K |
| T2025 |
Waiver service, 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 |
Pt or manip for maint |
1,358 |
216 |
$108K |
| M0372 |
|
4,334 |
413 |
$95K |
| M0299 |
|
2,988 |
1,000 |
$60K |
| T1003 |
Lpn/lvn services up to 15min |
3,508 |
1,812 |
$55K |
| M0101 |
|
669 |
567 |
$47K |
| A9153 |
Multi-vitamin nos |
383 |
336 |
$35K |
| M0315 |
|
1,042 |
994 |
$34K |
| M0171 |
|
483 |
66 |
$27K |
| M0298 |
|
1,433 |
844 |
$21K |
| M0248 |
Sotrovimab inf, home admin |
1,009 |
912 |
$6K |
| S5199 |
Personal care item nos each |
52 |
51 |
$2K |