| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
63,450 |
3,905 |
$15.17M |
| H2014 |
Skills train and dev, 15 min |
31,986 |
1,822 |
$1.74M |
| M0150 |
|
10,207 |
425 |
$1.64M |
| M0152 |
|
5,388 |
214 |
$944K |
| M0123 |
|
11,345 |
454 |
$864K |
| M0167 |
|
5,229 |
210 |
$847K |
| T2020 |
Day habil waiver per diem |
8,013 |
973 |
$714K |
| M0116 |
|
18,510 |
882 |
$500K |
| M0122 |
|
6,572 |
264 |
$477K |
| H2019 |
Ther behav svc, per 15 min |
6,793 |
1,291 |
$452K |
| T1002 |
Rn services up to 15 minutes |
8,007 |
2,618 |
$317K |
| M0118 |
|
6,392 |
294 |
$210K |
| M0117 |
|
4,261 |
191 |
$184K |
| M0115 |
|
5,669 |
309 |
$157K |
| M0299 |
|
5,250 |
1,674 |
$149K |
| T1003 |
Lpn/lvn services up to 15min |
7,202 |
1,474 |
$136K |
| M0113 |
|
251 |
228 |
$131K |
| M0133 |
|
1,170 |
552 |
$76K |
| M0298 |
|
3,700 |
1,081 |
$69K |
| D9220 |
|
125 |
117 |
$58K |
| M0101 |
|
1,036 |
890 |
$41K |
| D0120 |
|
69 |
64 |
$26K |
| M0315 |
|
346 |
328 |
$13K |
| M0248 |
Sotrovimab inf, home admin |
1,283 |
1,112 |
$4K |
| S5199 |
Personal care item nos each |
365 |
351 |
$2K |
| A9153 |
Multi-vitamin nos |
103 |
93 |
$2K |