| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
11,624 |
3,581 |
$41.59M |
| 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) |
134,321 |
8,446 |
$12.08M |
| H2022 |
Community-based wrap-around services, per diem |
4,735 |
878 |
$2.77M |
| H0040 |
Assertive community treatment program, per diem |
2,768 |
759 |
$2.36M |
| S5102 |
Day care services, adult; per diem |
27,675 |
2,253 |
$1.50M |
| S5130 |
Homemaker service, nos; per 15 minutes |
19,580 |
2,115 |
$1.26M |
| G0156 |
Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
4,312 |
372 |
$432K |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
2,565 |
868 |
$310K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
746 |
337 |
$182K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,033 |
659 |
$99K |
| D0140 |
Limited oral evaluation - problem focused |
2,010 |
1,803 |
$81K |
| T2003 |
Non-emergency transportation; encounter/trip |
3,845 |
309 |
$76K |
| D1120 |
Prophylaxis - child |
1,306 |
1,235 |
$45K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
400 |
188 |
$45K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
553 |
185 |
$38K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,997 |
1,835 |
$33K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,353 |
402 |
$28K |
| D0120 |
Periodic oral evaluation - established patient |
939 |
893 |
$26K |
| D1110 |
Prophylaxis - adult |
689 |
593 |
$25K |
| D0330 |
Panoramic radiographic image |
717 |
672 |
$21K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
426 |
360 |
$20K |
| 90834 |
Psychotherapy, 45 minutes with patient |
444 |
151 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
2,172 |
1,936 |
$14K |
| D0274 |
Bitewings - four radiographic images |
517 |
444 |
$13K |
| D7140 |
Extraction, erupted tooth or exposed root |
142 |
40 |
$12K |
| D0272 |
Bitewings - two radiographic images |
444 |
400 |
$10K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
507 |
143 |
$9K |
| D1351 |
Sealant - per tooth |
313 |
65 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,720 |
1,303 |
$8K |
| 90887 |
|
156 |
84 |
$6K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
45 |
13 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
21 |
12 |
$2K |
| D0145 |
Oral evaluation for a patient under three years of age |
16 |
12 |
$495.00 |