| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
32,246 |
6,161 |
$15.98M |
| M0123 |
|
33,317 |
1,373 |
$2.54M |
| M0122 |
|
22,326 |
927 |
$1.62M |
| H2014 |
Skills train and dev, 15 min |
32,039 |
2,137 |
$1.48M |
| M0125 |
|
13,198 |
541 |
$1.24M |
| T2020 |
Day habil waiver per diem |
19,279 |
1,035 |
$839K |
| M0116 |
|
16,016 |
773 |
$510K |
| M0118 |
|
7,683 |
370 |
$290K |
| T1003 |
Lpn/lvn services up to 15min |
17,968 |
5,551 |
$286K |
| D0120 |
|
810 |
751 |
$275K |
| T1002 |
Rn services up to 15 minutes |
3,484 |
1,574 |
$207K |
| M0115 |
|
6,093 |
309 |
$176K |
| M0113 |
|
449 |
428 |
$146K |
| M0298 |
|
6,415 |
2,467 |
$113K |
| H2019 |
Ther behav svc, per 15 min |
1,035 |
868 |
$92K |
| M0299 |
|
1,143 |
595 |
$77K |
| A9153 |
Multi-vitamin nos |
2,019 |
1,708 |
$50K |
| M0133 |
|
425 |
348 |
$37K |
| M0315 |
|
1,122 |
1,068 |
$27K |
| M0101 |
|
941 |
818 |
$24K |
| S8990 |
Pt or manip for maint |
301 |
36 |
$23K |
| M0248 |
Sotrovimab inf, home admin |
3,169 |
2,736 |
$7K |
| S5199 |
Personal care item nos each |
223 |
197 |
$4K |
| T2025 |
Waiver service, nos |
76 |
40 |
$4K |