| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
219,457 |
7,285 |
$22.21M |
| H2014 |
Skills train and dev, 15 min |
95,675 |
19,537 |
$5.96M |
| T1017 |
Targeted case management |
36,799 |
29,868 |
$3.80M |
| T2016 |
Habil res waiver per diem |
32,107 |
2,209 |
$2.65M |
| M0123 |
|
34,492 |
1,144 |
$2.63M |
| M0122 |
|
34,051 |
1,130 |
$2.47M |
| 99214 |
|
32,247 |
31,037 |
$2.28M |
| T1027 |
Family training & counseling |
18,987 |
10,076 |
$2.02M |
| M0150 |
|
9,549 |
321 |
$1.53M |
| H2017 |
Psysoc rehab svc, per 15 min |
10,871 |
3,609 |
$1.51M |
| H2011 |
Crisis interven svc, 15 min |
7,524 |
4,677 |
$1.43M |
| M0166 |
|
8,873 |
298 |
$1.34M |
| T2020 |
Day habil waiver per diem |
37,842 |
2,250 |
$1.33M |
| M0125 |
|
9,928 |
328 |
$934K |
| M0360 |
|
8,600 |
740 |
$908K |
| M0116 |
|
22,234 |
1,181 |
$761K |
| H2025 |
Supp maint employ, 15 min |
8,880 |
967 |
$750K |
| S5150 |
Unskilled respite care /15m |
4,870 |
685 |
$675K |
| M0115 |
|
21,518 |
1,175 |
$663K |
| H2019 |
Ther behav svc, per 15 min |
5,281 |
1,967 |
$572K |
| M0354 |
|
6,363 |
602 |
$541K |
| D0120 |
|
1,763 |
1,658 |
$531K |
| T1002 |
Rn services up to 15 minutes |
18,706 |
6,128 |
$468K |
| M0240 |
Casiri and imdev repeat |
2,365 |
365 |
$366K |
| M0154 |
|
2,890 |
408 |
$291K |
| M0118 |
|
6,505 |
357 |
$261K |
| 92507 |
|
2,158 |
1,343 |
$249K |
| M0372 |
|
20,856 |
1,619 |
$235K |
| 97110 |
|
2,005 |
998 |
$198K |
| M0113 |
|
659 |
632 |
$192K |
| M0299 |
|
6,673 |
2,939 |
$160K |
| M0133 |
|
1,318 |
568 |
$128K |
| H0034 |
Med trng & support per 15min |
1,929 |
1,786 |
$121K |
| M0419 |
|
8,884 |
1,000 |
$111K |
| 90792 |
|
569 |
554 |
$96K |
| T2025 |
Waiver service, nos |
916 |
147 |
$86K |
| T1003 |
Lpn/lvn services up to 15min |
5,470 |
2,396 |
$62K |
| 96372 |
|
3,679 |
3,284 |
$59K |
| 90837 |
|
556 |
339 |
$58K |
| M0192 |
|
480 |
172 |
$52K |
| H2015 |
Comp comm supp svc, 15 min |
373 |
137 |
$46K |
| M0315 |
|
1,933 |
1,862 |
$42K |
| M0101 |
|
413 |
325 |
$40K |
| A9153 |
Multi-vitamin nos |
302 |
265 |
$28K |
| 97530 |
|
262 |
140 |
$19K |
| M0298 |
|
1,259 |
701 |
$15K |
| 99442 |
|
467 |
464 |
$12K |
| M0248 |
Sotrovimab inf, home admin |
769 |
671 |
$7K |
| M0201 |
Pne flu hepb cov home admin |
152 |
14 |
$5K |
| 92523 |
|
41 |
38 |
$5K |
| 90834 |
|
55 |
40 |
$4K |
| 97161 |
|
38 |
37 |
$4K |
| M0307 |
|
112 |
85 |
$4K |
| 96131 |
|
63 |
57 |
$3K |
| M0198 |
|
12 |
12 |
$3K |
| H0038 |
Self-help/peer svc per 15min |
85 |
51 |
$3K |
| 96137 |
|
58 |
55 |
$2K |
| 99213 |
|
99 |
90 |
$2K |
| 96130 |
|
44 |
44 |
$1K |
| 96136 |
|
72 |
68 |
$1K |
| S9470 |
Nutritional counseling, diet |
12 |
12 |
$537.89 |
| 90832 |
|
15 |
12 |
$508.30 |