| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
21,884 |
2,331 |
$1.71M |
| T2003 |
Non-emergency transportation; encounter/trip |
44,282 |
2,045 |
$786K |
| S5100 |
Day care services, adult; per 15 minutes |
6,620 |
1,426 |
$350K |
| T2023 |
Targeted case management; per month |
2,085 |
2,082 |
$182K |
| T1016 |
Case management, each 15 minutes |
529 |
525 |
$79K |
| 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) |
80 |
55 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
416 |
357 |
$36K |
| H0040 |
Assertive community treatment program, per diem |
115 |
99 |
$31K |
| S0250 |
Comprehensive geriatric assessment and treatment planning performed by assessment team |
28 |
28 |
$4K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
128 |
71 |
$4K |
| 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) |
59 |
58 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
26 |
$456.56 |