| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
27,505 |
6,224 |
$17.82M |
| H2014 |
Skills training and development, per 15 minutes |
53,851 |
2,398 |
$2.48M |
| M0123 |
|
22,923 |
923 |
$1.75M |
| M0122 |
|
15,155 |
613 |
$1.10M |
| T2020 |
Day habilitation, waiver; per diem |
7,440 |
1,222 |
$861K |
| M0125 |
|
7,550 |
311 |
$710K |
| M0166 |
|
3,908 |
156 |
$587K |
| M0124 |
|
4,829 |
195 |
$576K |
| M0116 |
|
15,830 |
816 |
$541K |
| M0115 |
|
10,754 |
582 |
$338K |
| M0150 |
|
1,948 |
72 |
$305K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
1,854 |
558 |
$271K |
| D0120 |
Periodic oral evaluation - established patient |
744 |
710 |
$261K |
| M0118 |
|
5,865 |
294 |
$231K |
| M0117 |
|
3,469 |
166 |
$171K |
| M0133 |
|
1,211 |
290 |
$140K |
| T1002 |
Rn services, up to 15 minutes |
1,450 |
1,036 |
$104K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
2,693 |
1,706 |
$85K |
| M0113 |
|
245 |
229 |
$78K |
| M0299 |
|
1,109 |
608 |
$43K |
| M0298 |
|
1,465 |
775 |
$28K |
| M0315 |
|
857 |
824 |
$21K |
| S5199 |
Personal care item, nos, each |
140 |
140 |
$9K |
| M0101 |
|
64 |
40 |
$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 |
307 |
302 |
$3K |