| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
6,126,576 |
172,179 |
$1.53B |
| T2021 |
Day habilitation, waiver; per 15 minutes |
2,891,581 |
141,757 |
$194.84M |
| T2016 |
Habilitation, residential, waiver; per diem |
990,724 |
29,072 |
$167.22M |
| 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) |
1,156,558 |
52,662 |
$158.58M |
| T2020 |
Day habilitation, waiver; per diem |
1,813,506 |
97,402 |
$144.14M |
| T2012 |
Habilitation, educational; waiver, per diem |
764,697 |
25,895 |
$135.17M |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
1,047,987 |
71,854 |
$86.14M |
| T2022 |
Case management, per month |
333,849 |
332,033 |
$78.51M |
| T2025 |
Waiver services; not otherwise specified (nos) |
64,136 |
6,135 |
$27.79M |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
261,979 |
22,804 |
$16.82M |
| T1003 |
Lpn/lvn services, up to 15 minutes |
103,369 |
4,784 |
$14.73M |
| G0153 |
Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes |
64,478 |
30,099 |
$5.95M |
| H2011 |
Crisis intervention service, per 15 minutes |
48,039 |
14,260 |
$5.67M |
| D4341 |
|
11,405 |
11,347 |
$5.44M |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
39,793 |
16,476 |
$3.61M |
| T2002 |
Non-emergency transportation; per diem |
478,022 |
29,782 |
$3.36M |
| G0152 |
Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes |
29,761 |
12,277 |
$3.04M |
| T2031 |
Assisted living; waiver, per diem |
14,290 |
410 |
$2.58M |
| S9470 |
Nutritional counseling, dietitian visit |
21,709 |
21,576 |
$2.26M |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
3,922 |
2,490 |
$1.68M |
| D9243 |
|
6,095 |
6,042 |
$1.55M |
| D9239 |
|
6,506 |
6,463 |
$542K |
| S9125 |
Respite care, in the home, per diem |
2,448 |
557 |
$516K |
| D4342 |
|
4,615 |
4,593 |
$508K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
5,259 |
5,210 |
$349K |
| D0160 |
|
6,908 |
6,873 |
$290K |
| H0045 |
Respite care services, not in the home, per diem |
786 |
147 |
$278K |
| D0460 |
|
1,822 |
1,821 |
$212K |
| D4210 |
|
309 |
309 |
$209K |
| D0120 |
Periodic oral evaluation - established patient |
8,095 |
8,074 |
$198K |
| D2740 |
Crown - porcelain/ceramic |
255 |
251 |
$184K |
| D9910 |
|
7,871 |
7,842 |
$169K |
| D9215 |
|
2,767 |
2,737 |
$163K |
| D4355 |
|
1,692 |
1,683 |
$156K |
| D0274 |
Bitewings - four radiographic images |
4,114 |
4,110 |
$117K |
| D0210 |
Intraoral - complete series of radiographic images |
1,716 |
1,715 |
$108K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
321 |
317 |
$104K |
| D9211 |
|
2,001 |
1,952 |
$96K |
| S9128 |
Speech therapy, in the home, per diem |
313 |
312 |
$93K |
| D9212 |
|
979 |
953 |
$87K |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
293 |
248 |
$85K |
| D1206 |
Topical application of fluoride varnish |
3,785 |
3,781 |
$81K |
| D9911 |
|
876 |
833 |
$81K |
| T2024 |
Service assessment/plan of care development, waiver |
422 |
132 |
$63K |
| S9131 |
Physical therapy; in the home, per diem |
191 |
190 |
$63K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,371 |
2,340 |
$62K |
| D9222 |
|
670 |
653 |
$61K |
| D0220 |
Intraoral - periapical first radiographic image |
3,768 |
3,703 |
$47K |
| D0330 |
Panoramic radiographic image |
937 |
934 |
$47K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
157 |
157 |
$42K |
| D9210 |
|
1,022 |
1,019 |
$36K |
| D0140 |
Limited oral evaluation - problem focused |
1,187 |
1,174 |
$29K |
| D9920 |
|
119 |
119 |
$23K |
| D2750 |
|
29 |
29 |
$20K |
| D2950 |
|
88 |
87 |
$16K |
| S9129 |
Occupational therapy, in the home, per diem |
39 |
39 |
$13K |
| D9997 |
|
78 |
78 |
$12K |
| D0272 |
Bitewings - two radiographic images |
597 |
590 |
$11K |
| D9248 |
|
125 |
125 |
$11K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
70 |
69 |
$8K |
| D0240 |
|
270 |
270 |
$7K |
| D4910 |
|
83 |
83 |
$6K |
| D9610 |
|
214 |
214 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
208 |
208 |
$4K |
| D4346 |
|
80 |
80 |
$4K |
| D2940 |
|
55 |
53 |
$4K |
| H2014 |
Skills training and development, per 15 minutes |
31 |
13 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
82 |
82 |
$2K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
12 |
12 |
$1K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
14 |
12 |
$1K |
| D1354 |
|
15 |
14 |
$262.35 |
| D0270 |
|
14 |
14 |
$167.02 |