| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
149,088 |
7,501 |
$18.53M |
| T2016 |
Habil res waiver per diem |
49,694 |
2,596 |
$6.82M |
| H2014 |
Skills train and dev, 15 min |
76,220 |
3,851 |
$3.81M |
| M0123 |
|
37,839 |
1,524 |
$2.88M |
| S5150 |
Unskilled respite care /15m |
13,845 |
1,738 |
$1.78M |
| M0354 |
|
10,450 |
492 |
$1.64M |
| T2020 |
Day habil waiver per diem |
12,581 |
2,106 |
$1.60M |
| M0360 |
|
13,419 |
932 |
$1.54M |
| M0125 |
|
14,471 |
579 |
$1.36M |
| M0122 |
|
13,384 |
541 |
$970K |
| M0116 |
|
28,077 |
1,458 |
$965K |
| M0124 |
|
7,949 |
321 |
$947K |
| M0240 |
Casiri and imdev repeat |
4,854 |
717 |
$694K |
| T1002 |
Rn services up to 15 minutes |
7,043 |
2,860 |
$458K |
| D0120 |
|
897 |
847 |
$457K |
| M0118 |
|
10,901 |
522 |
$439K |
| S8990 |
Pt or manip for maint |
5,650 |
864 |
$438K |
| M0117 |
|
6,292 |
295 |
$312K |
| T2025 |
Waiver service, nos |
4,101 |
855 |
$310K |
| M0115 |
|
8,653 |
430 |
$272K |
| M0372 |
|
6,588 |
464 |
$234K |
| H2019 |
Ther behav svc, per 15 min |
1,802 |
355 |
$177K |
| M0113 |
|
252 |
213 |
$140K |
| M0135 |
|
1,687 |
322 |
$132K |
| M0201 |
Pne flu hepb cov home admin |
3,545 |
233 |
$109K |
| M0299 |
|
2,217 |
1,113 |
$105K |
| T1003 |
Lpn/lvn services up to 15min |
3,965 |
1,549 |
$96K |
| M0419 |
|
3,032 |
211 |
$92K |
| M0171 |
|
1,167 |
306 |
$88K |
| M0143 |
|
582 |
98 |
$77K |
| M0101 |
|
289 |
249 |
$56K |
| M0315 |
|
1,004 |
951 |
$47K |
| S5199 |
Personal care item nos each |
144 |
137 |
$20K |
| M0298 |
|
441 |
183 |
$9K |
| M0248 |
Sotrovimab inf, home admin |
520 |
463 |
$8K |
| M0133 |
|
59 |
12 |
$6K |