| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
48,204 |
4,113 |
$12.52M |
| M0123 |
|
17,973 |
727 |
$1.37M |
| M0122 |
|
13,263 |
536 |
$962K |
| M0125 |
|
10,007 |
405 |
$941K |
| M0150 |
|
6,123 |
254 |
$935K |
| H2014 |
Skills train and dev, 15 min |
21,339 |
1,126 |
$931K |
| T2020 |
Day habil waiver per diem |
9,459 |
1,137 |
$703K |
| M0116 |
|
14,831 |
759 |
$467K |
| M0118 |
|
9,310 |
463 |
$346K |
| M0167 |
|
1,439 |
48 |
$235K |
| T1002 |
Rn services up to 15 minutes |
2,761 |
1,295 |
$170K |
| M0115 |
|
5,495 |
314 |
$158K |
| H2019 |
Ther behav svc, per 15 min |
1,277 |
630 |
$108K |
| D0120 |
|
261 |
242 |
$105K |
| M0133 |
|
1,174 |
522 |
$105K |
| T1003 |
Lpn/lvn services up to 15min |
2,216 |
813 |
$103K |
| M0152 |
|
601 |
37 |
$96K |
| M0298 |
|
4,901 |
1,488 |
$76K |
| M0113 |
|
186 |
168 |
$69K |
| M0117 |
|
1,005 |
50 |
$50K |
| M0299 |
|
1,287 |
604 |
$48K |
| M0101 |
|
498 |
406 |
$37K |
| A9153 |
Multi-vitamin nos |
301 |
277 |
$22K |
| M0315 |
|
370 |
348 |
$11K |
| M0248 |
Sotrovimab inf, home admin |
792 |
716 |
$5K |