| C1300 | Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval |
| G0277 | Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval |
| H0038 | Self-help/peer services, per 15 minutes |
| H2021 | Community-based wrap-around services, per 15 minutes |
| S5100 | Day care services, adult; per 15 minutes |
| S5110 | Home care training, family; per 15 minutes |
| S5115 | Home care training, non-family; per 15 minutes |
| T1002 | Rn services, up to 15 minutes |
| T1003 | Lpn/lvn services, up to 15 minutes |
| T1016 | Case management, each 15 minutes |
| T2017 | Habilitation, residential, waiver; 15 minutes |
| T2021 | Day habilitation, waiver; per 15 minutes |
| T2047 | Habilitation, prevocational, waiver; per 15 minutes |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
| H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes |
| G9474 | Services performed by dietary counselor in the hospice setting, each 15 minutes |
| T2040 | Financial management, self-directed, waiver; per 15 minutes |
| G0017 | Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); first 60 minutes |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
| H2011 | Crisis intervention service, per 15 minutes |
| H2028 | Sexual offender treatment service, per 15 minutes |
| G0160 | Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes |
| G0161 | Services performed by a qualified speech-language pathologist, in the home health setting, in the establishment or delivery of a safe and effective speech-language pathology maintenance program, each 15 minutes |
| G0159 | Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes |
| G0153 | Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes |
| T1005 | Respite care services, up to 15 minutes |
| G2087 | Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month |
