| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0046 |
Mental health services, not otherwise specified |
3,310 |
3,281 |
$171K |
| S5130 |
Homemaker service, nos; per 15 minutes |
1,965 |
317 |
$143K |
| 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) |
719 |
99 |
$68K |
| S5170 |
Home delivered meals, including preparation; per meal |
1,434 |
278 |
$55K |
| S5102 |
Day care services, adult; per diem |
478 |
67 |
$47K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
285 |
283 |
$31K |
| T2003 |
Non-emergency transportation; encounter/trip |
473 |
69 |
$27K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
415 |
414 |
$9K |
| G0175 |
Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present |
15 |
15 |
$2K |