| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
7,174 |
3,656 |
$9.86M |
| H2014 |
Skills training and development, per 15 minutes |
27,271 |
1,576 |
$1.35M |
| M0123 |
|
13,091 |
530 |
$997K |
| M0122 |
|
12,497 |
511 |
$907K |
| M0125 |
|
9,151 |
370 |
$861K |
| T2020 |
Day habilitation, waiver; per diem |
1,356 |
998 |
$735K |
| M0124 |
|
5,715 |
231 |
$681K |
| M0116 |
|
9,655 |
475 |
$308K |
| M0118 |
|
5,987 |
303 |
$227K |
| M0115 |
|
7,341 |
369 |
$207K |
| M0117 |
|
3,582 |
187 |
$169K |
| D0120 |
Periodic oral evaluation - established patient |
416 |
370 |
$155K |
| T1002 |
Rn services, up to 15 minutes |
2,508 |
1,191 |
$73K |
| M0113 |
|
144 |
134 |
$57K |
| M0299 |
|
1,308 |
791 |
$47K |
| M0101 |
|
231 |
194 |
$46K |
| M0315 |
|
431 |
399 |
$13K |
| 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 |
401 |
384 |
$3K |
| B4149 |
Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
13 |
12 |
$1K |