| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
39,959 |
1,329 |
$5.58M |
| H2014 |
Skills training and development, per 15 minutes |
22,578 |
1,513 |
$1.01M |
| M0150 |
|
5,319 |
218 |
$859K |
| T2020 |
Day habilitation, waiver; per diem |
8,674 |
692 |
$293K |
| M0372 |
|
18,588 |
1,821 |
$183K |
| M0116 |
|
5,120 |
474 |
$165K |
| M0115 |
|
3,978 |
438 |
$112K |
| D0120 |
|
335 |
315 |
$109K |
| M0113 |
|
218 |
203 |
$69K |
| T2016 |
Habilitation, residential, waiver; per diem |
4,914 |
584 |
$61K |
| M0354 |
|
3,638 |
308 |
$47K |
| M0118 |
|
528 |
36 |
$19K |
| M0101 |
|
373 |
256 |
$17K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
360 |
296 |
$12K |
| M0315 |
|
419 |
401 |
$10K |
| 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 |
871 |
656 |
$3K |
| T1002 |
Rn services, up to 15 minutes |
70 |
41 |
$3K |