| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
15,889 |
3,398 |
$15.56M |
| H2014 |
Skills training and development, per 15 minutes |
35,654 |
1,867 |
$2.08M |
| M0167 |
|
10,210 |
410 |
$1.56M |
| M0354 |
|
6,392 |
217 |
$1.05M |
| T2016 |
Habilitation, residential, waiver; per diem |
5,884 |
169 |
$899K |
| T2020 |
Day habilitation, waiver; per diem |
4,328 |
887 |
$838K |
| M0169 |
|
4,752 |
204 |
$787K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
3,009 |
809 |
$420K |
| T1002 |
Rn services, up to 15 minutes |
7,234 |
2,405 |
$407K |
| M0116 |
|
9,717 |
445 |
$310K |
| T2025 |
Waiver services; not otherwise specified (nos) |
2,205 |
289 |
$166K |
| M0299 |
|
3,088 |
1,188 |
$135K |
| M0118 |
|
3,447 |
187 |
$134K |
| M0133 |
|
1,517 |
480 |
$130K |
| M0119 |
|
892 |
36 |
$125K |
| M0490 |
|
107 |
13 |
$17K |
| D0120 |
Periodic oral evaluation - established patient |
13 |
12 |
$13K |
| M0298 |
|
264 |
186 |
$4K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
40 |
17 |
$2K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
36 |
34 |
$1K |