| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
5,713 |
3,079 |
$9.79M |
| M0150 |
|
8,216 |
272 |
$1.32M |
| H2014 |
Skills training and development, per 15 minutes |
45,927 |
2,007 |
$1.30M |
| T2016 |
Habilitation, residential, waiver; per diem |
10,960 |
926 |
$916K |
| M0122 |
|
12,418 |
412 |
$901K |
| M0123 |
|
10,291 |
345 |
$784K |
| M0125 |
|
6,672 |
223 |
$628K |
| T2020 |
Day habilitation, waiver; per diem |
6,078 |
867 |
$471K |
| M0116 |
|
10,648 |
437 |
$308K |
| M0115 |
|
7,888 |
422 |
$217K |
| T1002 |
Rn services, up to 15 minutes |
9,120 |
1,911 |
$206K |
| M0360 |
|
1,699 |
163 |
$191K |
| D0120 |
|
670 |
610 |
$178K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
2,176 |
472 |
$157K |
| M0354 |
|
1,599 |
129 |
$133K |
| M0299 |
|
2,876 |
716 |
$89K |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
2,694 |
257 |
$79K |
| T2025 |
Waiver services; not otherwise specified (nos) |
1,032 |
309 |
$70K |
| M0133 |
|
907 |
222 |
$70K |
| M0113 |
|
177 |
172 |
$42K |
| M0118 |
|
997 |
61 |
$39K |
| M0372 |
|
2,657 |
452 |
$35K |
| M0101 |
|
387 |
310 |
$23K |
| S5199 |
Personal care item, nos, each |
278 |
248 |
$16K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
87 |
12 |
$14K |
| M0315 |
|
622 |
603 |
$12K |
| 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 |
924 |
805 |
$6K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
225 |
69 |
$4K |
| M0419 |
|
103 |
36 |
$1K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
16 |
14 |
$1K |