| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
6,851,514 |
282,879 |
$676.03M |
| T2025 |
Waiver services; not otherwise specified (nos) |
317,109 |
51,336 |
$62.97M |
| T2013 |
Habilitation, educational, waiver; per hour |
286,459 |
9,352 |
$47.61M |
| T2016 |
Habilitation, residential, waiver; per diem |
361,156 |
12,431 |
$44.22M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
246,622 |
20,589 |
$23.57M |
| 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) |
330,438 |
17,444 |
$23.55M |
| T2012 |
Habilitation, educational; waiver, per diem |
123,511 |
4,402 |
$23.08M |
| T2028 |
Specialized supply, not otherwise specified, waiver |
145,682 |
7,062 |
$22.82M |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
136,179 |
6,437 |
$21.69M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
186,632 |
13,352 |
$18.76M |
| T2040 |
Financial management, self-directed, waiver; per 15 minutes |
671,315 |
124,057 |
$14.83M |
| H2015 |
Comprehensive community support services, per 15 minutes |
153,356 |
8,824 |
$12.72M |
| T1005 |
Respite care services, up to 15 minutes |
167,449 |
14,611 |
$12.25M |
| 99509 |
Home visit for assistance with activities of daily living and personal care |
63,233 |
3,615 |
$8.53M |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
94,844 |
4,438 |
$7.66M |
| M0355 |
|
41,244 |
1,542 |
$7.18M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
51,684 |
3,906 |
$6.60M |
| S9125 |
Respite care, in the home, per diem |
64,355 |
5,806 |
$4.00M |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
26,564 |
1,830 |
$3.46M |
| M0361 |
|
22,558 |
1,312 |
$3.37M |
| G0749 |
|
11,371 |
2,517 |
$3.35M |
| W7319 |
|
70,542 |
30,662 |
$3.05M |
| W0560 |
|
25,132 |
1,948 |
$2.92M |
| M0111 |
|
4,670 |
4,662 |
$901K |
| M0373 |
|
15,469 |
1,510 |
$872K |
| M0241 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, 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, subsequent repeat doses |
6,787 |
919 |
$822K |
| G0226 |
|
3,903 |
3,903 |
$804K |
| M0209 |
|
3,501 |
3,501 |
$674K |
| S5130 |
Homemaker service, nos; per 15 minutes |
5,222 |
558 |
$448K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
1,567 |
1,009 |
$405K |
| S0215 |
Non-emergency transportation; mileage, per mile |
25,037 |
1,806 |
$404K |
| T1020 |
Personal care services, per diem, 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) |
4,113 |
254 |
$372K |
| G0227 |
|
2,735 |
2,734 |
$307K |
| M0145 |
|
2,271 |
569 |
$282K |
| M0420 |
|
4,647 |
612 |
$270K |
| T2013TF |
|
719 |
66 |
$111K |
| W0570 |
|
1,199 |
238 |
$99K |
| W0550 |
|
246 |
175 |
$85K |
| M0539 |
|
7,790 |
1,112 |
$46K |
| G6063 |
|
677 |
304 |
$25K |
| M0541 |
|
2,991 |
486 |
$14K |
| M0359 |
|
61 |
61 |
$9K |
| G0228 |
|
12 |
12 |
$3K |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
30 |
14 |
$2K |
| T1016 |
Case management, each 15 minutes |
1,279 |
109 |
$78.16 |
| ESUP |
|
37 |
29 |
$0.00 |
| T2024 |
Service assessment/plan of care development, waiver |
262 |
262 |
$0.00 |