| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
97,300 |
4,713 |
$18.84M |
| M0150 |
|
17,410 |
673 |
$2.81M |
| H2014 |
Skills training and development, per 15 minutes |
43,550 |
2,174 |
$2.16M |
| M0152 |
|
6,468 |
252 |
$1.13M |
| T2020 |
Day habilitation, waiver; per diem |
21,465 |
1,077 |
$994K |
| M0123 |
|
11,511 |
438 |
$876K |
| M0116 |
|
22,676 |
892 |
$736K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
3,373 |
1,432 |
$383K |
| T1002 |
Rn services, up to 15 minutes |
8,519 |
2,546 |
$294K |
| M0118 |
|
8,006 |
280 |
$289K |
| M0122 |
|
3,017 |
127 |
$219K |
| M0299 |
|
6,040 |
1,434 |
$187K |
| D0120 |
|
311 |
288 |
$172K |
| M0133 |
|
1,447 |
682 |
$133K |
| M0115 |
|
3,606 |
138 |
$102K |
| M0113 |
|
150 |
145 |
$90K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
5,521 |
1,369 |
$88K |
| M0101 |
|
689 |
502 |
$49K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
1,018 |
854 |
$41K |
| M0149 |
|
248 |
12 |
$37K |
| M0298 |
|
2,204 |
756 |
$29K |
| M0315 |
|
315 |
303 |
$13K |
| 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 |
1,649 |
1,374 |
$8K |
| S5199 |
Personal care item, nos, each |
152 |
118 |
$5K |