| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
25,111 |
5,124 |
$14.11M |
| T2022 |
Case management, per month |
39,178 |
39,124 |
$7.04M |
| M0123 |
|
25,720 |
1,035 |
$1.96M |
| H2014 |
Skills training and development, per 15 minutes |
38,294 |
1,852 |
$1.59M |
| M0124 |
|
9,113 |
367 |
$1.09M |
| M0125 |
|
10,988 |
442 |
$1.03M |
| T2016 |
Habilitation, residential, waiver; per diem |
8,444 |
437 |
$1.03M |
| T2020 |
Day habilitation, waiver; per diem |
20,807 |
1,159 |
$815K |
| M0122 |
|
7,966 |
320 |
$578K |
| S8990 |
Physical or manipulative therapy performed for maintenance rather than restoration |
9,047 |
1,023 |
$564K |
| M0116 |
|
14,721 |
828 |
$499K |
| T2025 |
Waiver services; not otherwise specified (nos) |
7,678 |
1,117 |
$446K |
| D0120 |
|
471 |
447 |
$317K |
| M0118 |
|
7,626 |
450 |
$302K |
| M0117 |
|
5,325 |
282 |
$260K |
| M0360 |
|
1,581 |
87 |
$239K |
| M0171 |
|
3,288 |
499 |
$209K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
2,149 |
561 |
$195K |
| M0135 |
|
1,693 |
289 |
$135K |
| T1002 |
Rn services, up to 15 minutes |
2,422 |
1,165 |
$105K |
| M0133 |
|
1,100 |
291 |
$102K |
| M0131 |
|
1,843 |
276 |
$100K |
| M0101 |
|
468 |
362 |
$95K |
| M0113 |
|
162 |
146 |
$93K |
| M0115 |
|
2,662 |
157 |
$83K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
4,526 |
1,675 |
$79K |
| S5199 |
Personal care item, nos, each |
336 |
310 |
$53K |
| M0299 |
|
972 |
595 |
$35K |
| M0298 |
|
1,425 |
877 |
$29K |
| M0315 |
|
492 |
473 |
$22K |
| 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 |
1,071 |
880 |
$14K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
30 |
30 |
$9K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
21 |
13 |
$3K |