| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
2,605 |
548 |
$2.62M |
| H2014 |
Skills training and development, per 15 minutes |
9,822 |
487 |
$732K |
| T1002 |
Rn services, up to 15 minutes |
6,896 |
515 |
$112K |
| D0120 |
Periodic oral evaluation - established patient |
84 |
82 |
$26K |
| M0315 |
|
72 |
70 |
$2K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
16 |
14 |
$2K |
| 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 |
30 |
26 |
$372.38 |