| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
3,330 |
2,031 |
$7.35M |
| H2014 |
Skills training and development, per 15 minutes |
42,511 |
1,833 |
$1.46M |
| M0166 |
|
5,629 |
225 |
$858K |
| T2020 |
Day habilitation, waiver; per diem |
3,815 |
987 |
$457K |
| M0122 |
|
6,153 |
241 |
$446K |
| M0116 |
|
6,903 |
491 |
$229K |
| M0115 |
|
6,759 |
514 |
$200K |
| D0120 |
Periodic oral evaluation - established patient |
559 |
509 |
$181K |
| M0372 |
|
12,431 |
1,178 |
$109K |
| M0113 |
|
234 |
219 |
$74K |
| M0299 |
|
2,755 |
1,038 |
$58K |
| T1002 |
Rn services, up to 15 minutes |
3,179 |
1,060 |
$48K |
| M0118 |
|
508 |
36 |
$20K |
| M0133 |
|
423 |
167 |
$17K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
469 |
150 |
$17K |
| M0315 |
|
524 |
495 |
$13K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
946 |
414 |
$11K |
| M0101 |
|
332 |
278 |
$9K |
| M0298 |
|
828 |
443 |
$9K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
134 |
117 |
$5K |
| 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 |
603 |
513 |
$2K |