| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
3,594 |
787 |
$4.15M |
| H2014 |
Skills training and development, per 15 minutes |
10,552 |
519 |
$719K |
| T2020 |
Day habilitation, waiver; per diem |
1,258 |
271 |
$320K |
| M0116 |
|
4,211 |
168 |
$127K |
| T1002 |
Rn services, up to 15 minutes |
2,735 |
777 |
$75K |
| M0299 |
|
1,537 |
473 |
$30K |
| M0113 |
|
56 |
52 |
$26K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
284 |
250 |
$18K |
| M0133 |
|
206 |
163 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$3K |
| T2025 |
Waiver services; not otherwise specified (nos) |
25 |
24 |
$3K |
| M0315 |
|
55 |
51 |
$2K |
| M0120 |
|
12 |
12 |
$1K |