| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
7,061 |
2,109 |
$7.33M |
| H2014 |
Skills train and dev, 15 min |
69,025 |
20,864 |
$3.55M |
| T1017 |
Targeted case management |
13,369 |
6,956 |
$1.43M |
| M0150 |
|
7,601 |
285 |
$1.23M |
| M0122 |
|
9,868 |
348 |
$716K |
| M0123 |
|
7,807 |
268 |
$594K |
| T2020 |
Day habil waiver per diem |
13,528 |
1,098 |
$459K |
| T2016 |
Habil res waiver per diem |
8,394 |
636 |
$429K |
| 99214 |
|
9,874 |
9,692 |
$372K |
| H2011 |
Crisis interven svc, 15 min |
1,634 |
1,412 |
$369K |
| M0116 |
|
7,376 |
467 |
$231K |
| D0120 |
|
548 |
525 |
$209K |
| 90791 |
|
1,370 |
1,357 |
$184K |
| M0152 |
|
1,033 |
39 |
$175K |
| M0115 |
|
5,529 |
502 |
$155K |
| M0372 |
|
20,290 |
1,239 |
$148K |
| M0354 |
|
2,880 |
392 |
$138K |
| 90792 |
|
1,107 |
1,102 |
$130K |
| H2017 |
Psysoc rehab svc, per 15 min |
1,529 |
439 |
$129K |
| M0118 |
|
3,351 |
163 |
$120K |
| M0113 |
|
268 |
250 |
$85K |
| 99213 |
|
2,942 |
2,903 |
$79K |
| 90837 |
|
743 |
475 |
$78K |
| H0034 |
Med trng & support per 15min |
3,201 |
2,701 |
$73K |
| H2019 |
Ther behav svc, per 15 min |
1,154 |
375 |
$62K |
| M0360 |
|
881 |
74 |
$58K |
| T1002 |
Rn services up to 15 minutes |
3,122 |
1,291 |
$58K |
| 90834 |
|
577 |
431 |
$56K |
| M0133 |
|
716 |
133 |
$42K |
| M0299 |
|
1,299 |
667 |
$32K |
| T1003 |
Lpn/lvn services up to 15min |
2,159 |
734 |
$24K |
| M0201 |
Pne flu hepb cov home admin |
758 |
112 |
$20K |
| M0315 |
|
674 |
648 |
$19K |
| M0101 |
|
188 |
158 |
$12K |
| M0298 |
|
431 |
228 |
$5K |
| H0038 |
Self-help/peer svc per 15min |
657 |
422 |
$3K |
| 99212 |
|
79 |
79 |
$2K |
| M0248 |
Sotrovimab inf, home admin |
179 |
157 |
$1K |
| 96372 |
|
15 |
13 |
$222.46 |