| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
2,525,854 |
73,106 |
$1.00B |
| T2025 |
Waiver services; not otherwise specified (nos) |
294,721 |
10,158 |
$175.97M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
906,441 |
39,996 |
$70.81M |
| T2020 |
Day habilitation, waiver; per diem |
540,456 |
27,753 |
$52.96M |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
369,818 |
24,144 |
$36.18M |
| T2022 |
Case management, per month |
110,693 |
108,529 |
$25.67M |
| T1003 |
Lpn/lvn services, up to 15 minutes |
107,579 |
4,026 |
$21.97M |
| T2016 |
Habilitation, residential, waiver; per diem |
72,574 |
1,790 |
$15.94M |
| T2012 |
Habilitation, educational; waiver, per diem |
66,930 |
2,255 |
$15.83M |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
68,472 |
2,904 |
$10.09M |
| H2011 |
Crisis intervention service, per 15 minutes |
55,486 |
14,969 |
$7.98M |
| G0153 |
Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes |
30,924 |
13,856 |
$2.77M |
| D4341 |
|
5,056 |
4,948 |
$2.39M |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
24,596 |
10,458 |
$2.33M |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
21,164 |
2,050 |
$2.06M |
| G0152 |
Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes |
18,538 |
8,069 |
$1.86M |
| S9470 |
Nutritional counseling, dietitian visit |
15,546 |
15,350 |
$1.55M |
| D9243 |
|
1,793 |
1,746 |
$329K |
| T2002 |
Non-emergency transportation; per diem |
27,810 |
1,553 |
$192K |
| D9239 |
|
2,284 |
2,229 |
$187K |
| D0160 |
|
2,855 |
2,797 |
$118K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
275 |
266 |
$94K |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
211 |
135 |
$88K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
1,217 |
1,185 |
$74K |
| D0120 |
Periodic oral evaluation - established patient |
2,761 |
2,711 |
$67K |
| D9222 |
|
656 |
632 |
$59K |
| D9910 |
|
2,766 |
2,708 |
$58K |
| D4342 |
|
552 |
542 |
$51K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,613 |
1,575 |
$46K |
| D0460 |
|
343 |
332 |
$39K |
| D9215 |
|
559 |
540 |
$33K |
| D1206 |
Topical application of fluoride varnish |
1,098 |
1,066 |
$23K |
| D0140 |
Limited oral evaluation - problem focused |
890 |
868 |
$21K |
| D0220 |
Intraoral - periapical first radiographic image |
1,690 |
1,651 |
$21K |
| D4210 |
|
29 |
29 |
$19K |
| D4355 |
|
191 |
188 |
$18K |
| D9211 |
|
260 |
245 |
$17K |
| D9920 |
|
78 |
78 |
$16K |
| D0272 |
Bitewings - two radiographic images |
795 |
784 |
$15K |
| T2024 |
Service assessment/plan of care development, waiver |
90 |
26 |
$14K |
| D2750 |
|
24 |
24 |
$13K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
30 |
30 |
$11K |
| D0210 |
Intraoral - complete series of radiographic images |
166 |
166 |
$10K |
| D9212 |
|
114 |
105 |
$10K |
| D9997 |
|
63 |
63 |
$9K |
| D0274 |
Bitewings - four radiographic images |
274 |
266 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
325 |
318 |
$7K |
| D9210 |
|
123 |
119 |
$4K |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
26 |
22 |
$3K |
| D9610 |
|
86 |
86 |
$2K |
| D4346 |
|
44 |
44 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
53 |
52 |
$2K |
| D0330 |
Panoramic radiographic image |
34 |
25 |
$1K |