| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
37,129 |
1,226 |
$4.03M |
| H2014 |
Skills training and development, per 15 minutes |
17,140 |
965 |
$636K |
| M0122 |
|
5,615 |
186 |
$407K |
| T2020 |
Day habilitation, waiver; per diem |
7,485 |
505 |
$254K |
| M0115 |
|
3,572 |
262 |
$110K |
| M0372 |
|
17,736 |
880 |
$107K |
| T2016 |
Habilitation, residential, waiver; per diem |
6,655 |
591 |
$102K |
| M0116 |
|
2,827 |
178 |
$94K |
| T1002 |
Rn services, up to 15 minutes |
2,537 |
744 |
$66K |
| M0354 |
|
2,643 |
269 |
$51K |
| D0120 |
Periodic oral evaluation - established patient |
115 |
107 |
$42K |
| M0299 |
|
816 |
279 |
$23K |
| M0113 |
|
69 |
67 |
$20K |
| M0315 |
|
92 |
90 |
$2K |