| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
5,011 |
1,182 |
$3.90M |
| T2016 |
Habilitation, residential, waiver; per diem |
12,160 |
644 |
$1.55M |
| M0360 |
|
4,443 |
232 |
$627K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
4,217 |
582 |
$590K |
| H2014 |
Skills training and development, per 15 minutes |
8,274 |
469 |
$450K |
| M0240 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring, subsequent repeat doses |
1,428 |
216 |
$250K |
| T2020 |
Day habilitation, waiver; per diem |
674 |
241 |
$160K |
| T1002 |
Rn services, up to 15 minutes |
770 |
418 |
$47K |
| M0116 |
|
1,082 |
73 |
$36K |
| M0299 |
|
597 |
308 |
$25K |
| D0120 |
Periodic oral evaluation - established patient |
14 |
12 |
$11K |