| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
6,269 |
1,348 |
$5.20M |
| H2014 |
Skills train and dev, 15 min |
14,508 |
716 |
$754K |
| T2016 |
Habil res waiver per diem |
3,870 |
132 |
$298K |
| T2020 |
Day habil waiver per diem |
1,809 |
344 |
$285K |
| M0118 |
|
3,389 |
148 |
$121K |
| H2019 |
Ther behav svc, per 15 min |
519 |
165 |
$47K |
| T1002 |
Rn services up to 15 minutes |
1,927 |
724 |
$43K |
| A9153 |
Multi-vitamin nos |
235 |
220 |
$22K |
| M0299 |
|
786 |
280 |
$17K |
| M0101 |
|
302 |
249 |
$14K |
| D0120 |
|
13 |
12 |
$8K |
| S5199 |
Personal care item nos each |
482 |
480 |
$8K |
| M0113 |
|
14 |
13 |
$7K |
| M0133 |
|
55 |
28 |
$5K |
| M0248 |
Sotrovimab inf, home admin |
922 |
834 |
$5K |
| M0315 |
|
13 |
13 |
$443.66 |