| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
11,489 |
2,085 |
$5.42M |
| T2016 |
Habil res waiver per diem |
6,203 |
355 |
$1.06M |
| M0123 |
|
10,328 |
417 |
$786K |
| H2014 |
Skills train and dev, 15 min |
20,997 |
941 |
$762K |
| M0125 |
|
5,151 |
197 |
$485K |
| M0122 |
|
5,535 |
227 |
$402K |
| M0354 |
|
2,814 |
176 |
$357K |
| 90837 |
|
2,971 |
1,121 |
$216K |
| T2020 |
Day habil waiver per diem |
1,384 |
300 |
$167K |
| M0116 |
|
5,033 |
304 |
$159K |
| H2019 |
Ther behav svc, per 15 min |
835 |
362 |
$105K |
| T1002 |
Rn services up to 15 minutes |
1,099 |
586 |
$83K |
| M0133 |
|
760 |
206 |
$67K |
| M0299 |
|
909 |
493 |
$45K |
| M0115 |
|
1,398 |
87 |
$39K |
| T1003 |
Lpn/lvn services up to 15min |
568 |
477 |
$30K |
| M0298 |
|
724 |
455 |
$21K |
| S8990 |
Pt or manip for maint |
62 |
12 |
$20K |
| D0120 |
|
12 |
12 |
$4K |
| M0248 |
Sotrovimab inf, home admin |
16 |
13 |
$46.60 |