| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
1,372,505 |
94,927 |
$345.54M |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
380,697 |
91,972 |
$76.35M |
| T1000 |
Private duty / independent nursing service(s) - licensed, up to 15 minutes |
170,229 |
8,477 |
$62.55M |
| 0365T |
|
226,669 |
16,185 |
$43.13M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
110,750 |
7,890 |
$17.90M |
| 0369T |
|
47,689 |
14,900 |
$8.97M |
| 0364T |
|
225,814 |
16,184 |
$6.12M |
| T1026 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour |
28,494 |
7,399 |
$5.58M |
| 97156 |
|
57,265 |
45,867 |
$5.14M |
| 97151 |
|
18,546 |
12,273 |
$5.03M |
| 0368T |
|
48,967 |
15,022 |
$2.95M |
| 0373T |
|
8,091 |
555 |
$2.57M |
| H0032 |
Mental health service plan development by non-physician |
14,190 |
3,505 |
$1.54M |
| H2012 |
Behavioral health day treatment, per hour |
9,332 |
2,672 |
$1.45M |
| 0370T |
|
10,375 |
8,097 |
$1.24M |
| 0359T |
|
2,530 |
2,520 |
$1.18M |
| H0031 |
Mental health assessment, by non-physician |
3,306 |
2,985 |
$1.12M |
| 0374T |
|
2,739 |
211 |
$960K |
| H0046 |
Mental health services, not otherwise specified |
1,806 |
418 |
$205K |
| H2033 |
Multisystemic therapy for juveniles, per 15 minutes |
1,218 |
59 |
$187K |
| S5110 |
Home care training, family; per 15 minutes |
2,492 |
1,674 |
$177K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,823 |
734 |
$162K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
2,444 |
676 |
$159K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
1,095 |
190 |
$119K |
| Q3014 |
Telehealth originating site facility fee |
3,280 |
884 |
$84K |
| 96101 |
|
107 |
107 |
$60K |
| 96137 |
|
206 |
205 |
$43K |
| 96130 |
|
391 |
391 |
$39K |
| 96131 |
|
95 |
95 |
$23K |
| S5111 |
Home care training, family; per session |
452 |
315 |
$22K |
| H2016 |
Comprehensive community support services, per diem |
128 |
13 |
$15K |
| 96136 |
|
184 |
184 |
$9K |
| 99368 |
|
73 |
24 |
$3K |
| S5108 |
Home care training to home care client, per 15 minutes |
289 |
128 |
$774.00 |