| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
199,609 |
10,466 |
$37.97M |
| M0150 |
|
24,554 |
963 |
$3.95M |
| H2014 |
Skills training and development, per 15 minutes |
70,672 |
3,540 |
$3.37M |
| M0123 |
|
30,667 |
1,178 |
$2.33M |
| M0152 |
|
12,228 |
483 |
$2.13M |
| T2020 |
Day habilitation, waiver; per diem |
47,333 |
2,315 |
$2.03M |
| M0167 |
|
10,564 |
406 |
$1.71M |
| M0116 |
|
44,439 |
1,872 |
$1.48M |
| M0122 |
|
16,474 |
635 |
$1.20M |
| M0125 |
|
10,323 |
395 |
$971K |
| M0166 |
|
5,659 |
220 |
$859K |
| M0118 |
|
15,304 |
633 |
$619K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
4,636 |
2,084 |
$519K |
| T1002 |
Rn services, up to 15 minutes |
18,335 |
4,904 |
$515K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
30,014 |
4,612 |
$510K |
| M0115 |
|
12,448 |
586 |
$383K |
| D0120 |
Periodic oral evaluation - established patient |
827 |
785 |
$349K |
| M0299 |
|
10,778 |
2,471 |
$317K |
| M0113 |
|
493 |
461 |
$186K |
| M0298 |
|
9,321 |
1,787 |
$155K |
| M0133 |
|
991 |
462 |
$127K |
| M0149 |
|
671 |
24 |
$119K |
| M0117 |
|
2,048 |
88 |
$110K |
| M0315 |
|
1,184 |
1,136 |
$38K |
| M0101 |
|
698 |
587 |
$34K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
1,293 |
1,149 |
$33K |
| S5199 |
Personal care item, nos, each |
274 |
186 |
$26K |
| 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 |
2,322 |
1,913 |
$11K |