| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
133,983 |
5,279 |
$20.39M |
| H2014 |
Skills training and development, per 15 minutes |
43,125 |
2,355 |
$2.11M |
| M0150 |
|
12,997 |
531 |
$2.10M |
| M0152 |
|
11,621 |
470 |
$2.03M |
| T2020 |
Day habilitation, waiver; per diem |
17,694 |
1,062 |
$924K |
| M0151 |
|
4,184 |
163 |
$827K |
| M0123 |
|
10,581 |
426 |
$806K |
| M0122 |
|
7,637 |
312 |
$554K |
| M0116 |
|
14,550 |
753 |
$492K |
| M0118 |
|
11,497 |
574 |
$456K |
| T1002 |
Rn services, up to 15 minutes |
12,866 |
2,909 |
$441K |
| M0125 |
|
3,313 |
149 |
$312K |
| S8990 |
Physical or manipulative therapy performed for maintenance rather than restoration |
3,820 |
616 |
$251K |
| T2025 |
Waiver services; not otherwise specified (nos) |
3,717 |
663 |
$241K |
| M0299 |
|
6,332 |
1,815 |
$230K |
| M0117 |
|
4,556 |
215 |
$214K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
3,353 |
1,032 |
$213K |
| M0115 |
|
5,937 |
330 |
$179K |
| D0120 |
Periodic oral evaluation - established patient |
225 |
210 |
$154K |
| M0171 |
|
1,381 |
326 |
$100K |
| M0113 |
|
113 |
98 |
$89K |
| M0133 |
|
1,299 |
561 |
$89K |
| M0131 |
|
1,004 |
182 |
$79K |
| A9153 |
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
740 |
563 |
$20K |
| M0101 |
|
349 |
309 |
$16K |
| M0315 |
|
130 |
124 |
$7K |
| 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 |
1,023 |
869 |
$4K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
108 |
48 |
$2K |