| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
850 |
710 |
$3.23M |
| M0150 |
|
7,268 |
257 |
$1.17M |
| H2014 |
Skills training and development, per 15 minutes |
8,125 |
383 |
$357K |
| M0116 |
|
5,908 |
297 |
$201K |
| T2020 |
Day habilitation, waiver; per diem |
188 |
175 |
$115K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
2,820 |
993 |
$68K |
| M0115 |
|
2,120 |
120 |
$67K |
| T1002 |
Rn services, up to 15 minutes |
632 |
291 |
$33K |
| M0298 |
|
1,731 |
649 |
$18K |
| M0299 |
|
640 |
314 |
$16K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
158 |
150 |
$5K |
| M0101 |
|
191 |
189 |
$1K |
| 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 |
249 |
245 |
$151.89 |