| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
58,972 |
2,052 |
$5.93M |
| M0123 |
|
10,082 |
408 |
$768K |
| H2014 |
Skills training and development, per 15 minutes |
16,140 |
885 |
$722K |
| M0122 |
|
5,654 |
231 |
$410K |
| T2020 |
Day habilitation, waiver; per diem |
9,700 |
543 |
$342K |
| M0116 |
|
6,492 |
375 |
$207K |
| M0125 |
|
1,416 |
48 |
$133K |
| D0120 |
Periodic oral evaluation - established patient |
220 |
192 |
$63K |
| T1002 |
Rn services, up to 15 minutes |
1,254 |
652 |
$39K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
3,650 |
1,101 |
$35K |
| M0298 |
|
2,519 |
737 |
$26K |
| M0113 |
|
59 |
58 |
$17K |
| M0299 |
|
529 |
255 |
$16K |
| M0101 |
|
151 |
95 |
$13K |
| M0115 |
|
168 |
12 |
$4K |
| M0315 |
|
121 |
119 |
$3K |
| 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 |
387 |
347 |
$3K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
44 |
26 |
$780.79 |