| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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) |
12,381,344 |
609,244 |
$825.63M |
| S5135 |
Companion care, adult (e.g., iadl/adl); per 15 minutes |
6,109,389 |
258,680 |
$649.10M |
| S5125 |
Attendant care services; per 15 minutes |
4,067,945 |
156,672 |
$262.49M |
| S5130 |
Homemaker service, nos; per 15 minutes |
5,941,532 |
382,095 |
$208.01M |
| H2015 |
Comprehensive community support services, per 15 minutes |
2,264,752 |
114,099 |
$201.75M |
| T2027 |
Specialized childcare, waiver; per 15 minutes |
723,737 |
31,529 |
$79.74M |
| S5126 |
Attendant care services; per diem |
233,936 |
8,094 |
$68.64M |
| T2013 |
Habilitation, educational, waiver; per hour |
328,024 |
11,238 |
$52.60M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
369,498 |
38,131 |
$38.01M |
| T2040 |
Financial management, self-directed, waiver; per 15 minutes |
426,845 |
372,393 |
$37.64M |
| S5131 |
Homemaker service, nos; per diem |
145,167 |
4,852 |
$33.73M |
| T1005 |
Respite care services, up to 15 minutes |
371,150 |
48,994 |
$30.19M |
| T2025 |
Waiver services; not otherwise specified (nos) |
233,342 |
213,857 |
$23.59M |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
261,426 |
17,782 |
$23.15M |
| T2028 |
Specialized supply, not otherwise specified, waiver |
184,459 |
11,963 |
$22.44M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
246,180 |
15,027 |
$21.34M |
| T1004 |
Services of a qualified nursing aide, up to 15 minutes |
136,924 |
14,803 |
$17.46M |
| T2003 |
Non-emergency transportation; encounter/trip |
263,801 |
17,154 |
$12.64M |
| H0043 |
Supported housing, per diem |
61,325 |
2,809 |
$10.90M |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
59,108 |
4,703 |
$9.27M |
| T2012 |
Habilitation, educational; waiver, per diem |
41,850 |
1,409 |
$6.99M |
| T2018 |
Habilitation, supported employment, waiver; per diem |
44,148 |
3,799 |
$6.28M |
| T1002 |
Rn services, up to 15 minutes |
19,076 |
1,022 |
$4.32M |
| S5136 |
Companion care, adult (e.g., iadl/adl); per diem |
57,312 |
2,339 |
$3.60M |
| S0215 |
Non-emergency transportation; mileage, per mile |
163,341 |
16,188 |
$3.36M |
| T2020 |
Day habilitation, waiver; per diem |
32,269 |
2,511 |
$2.96M |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
44,704 |
15,527 |
$2.83M |
| H2014 |
Skills training and development, per 15 minutes |
36,487 |
3,170 |
$2.46M |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
18,973 |
1,272 |
$2.09M |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
18,394 |
13,818 |
$1.62M |
| S5102 |
Day care services, adult; per diem |
15,880 |
1,162 |
$1.57M |
| S5120 |
Chore services; per 15 minutes |
32,751 |
1,957 |
$1.39M |
| T2015 |
Habilitation, prevocational, waiver; per hour |
34,303 |
1,872 |
$1.38M |
| 1520P |
|
12,509 |
675 |
$1.30M |
| T1017 |
Targeted case management, each 15 minutes |
4,772 |
4,200 |
$1.24M |
| T2013TF |
|
6,594 |
370 |
$1.19M |
| T1016 |
Case management, each 15 minutes |
5,254 |
3,819 |
$1.12M |
| S8990 |
Physical or manipulative therapy performed for maintenance rather than restoration |
13,250 |
3,115 |
$1.08M |
| T5999 |
Supply, not otherwise specified |
12,161 |
2,577 |
$1.01M |
| H2016 |
Comprehensive community support services, per diem |
3,600 |
263 |
$854K |
| S5170 |
Home delivered meals, including preparation; per meal |
65,188 |
3,421 |
$664K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
4,940 |
205 |
$651K |
| 99429 |
|
7,555 |
1,357 |
$605K |
| S5121 |
Chore services; per diem |
4,254 |
1,321 |
$536K |
| S5115 |
Home care training, non-family; per 15 minutes |
11,082 |
3,179 |
$528K |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
6,164 |
2,149 |
$511K |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
3,947 |
3,877 |
$485K |
| 99199 |
Unlisted special service, procedure or report |
2,503 |
1,832 |
$337K |
| S9970 |
Health club membership, annual |
4,439 |
3,778 |
$333K |
| S9123 |
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
4,259 |
1,291 |
$286K |
| T2014 |
Habilitation, prevocational, waiver; per diem |
3,815 |
305 |
$259K |
| S9451 |
Exercise classes, non-physician provider, per session |
2,988 |
796 |
$246K |
| T2036 |
Therapeutic camping, overnight, waiver; each session |
430 |
219 |
$213K |
| S9125 |
Respite care, in the home, per diem |
1,869 |
268 |
$208K |
| 97124 |
|
2,104 |
696 |
$183K |
| H0045 |
Respite care services, not in the home, per diem |
727 |
146 |
$181K |
| 1019Z |
|
343 |
17 |
$139K |
| H2023 |
Supported employment, per 15 minutes |
1,871 |
220 |
$104K |
| S5151 |
Unskilled respite care, not hospice; per diem |
207 |
78 |
$70K |
| G9001 |
Coordinated care fee, initial rate |
323 |
293 |
$43K |
| 1303Z |
|
242 |
56 |
$29K |
| S5116 |
Home care training, non-family; per session |
284 |
81 |
$17K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
120 |
56 |
$10K |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
20 |
13 |
$4K |
| S5110 |
Home care training, family; per 15 minutes |
42 |
12 |
$3K |
| 99509 |
Home visit for assistance with activities of daily living and personal care |
19 |
17 |
$3K |
| T2028 U |
|
163 |
151 |
$0.00 |
| RETRO |
Endo, colon, retro imaging |
129 |
69 |
$0.00 |