| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1002 |
Rn services up to 15 minutes |
22,587 |
10,969 |
$432.74 |
| S9123 |
Nursing care in home rn |
4,661 |
3,499 |
$118.02 |
| 99211 |
|
9,060 |
3,679 |
$44.37 |
| 99213 |
|
1,098 |
821 |
$29.06 |
| 97116 |
|
3,603 |
1,249 |
$19.84 |
| 97110 |
|
8,883 |
2,624 |
$14.76 |
| 97112 |
|
1,441 |
669 |
$9.84 |
| 97530 |
|
3,182 |
1,489 |
$4.92 |
| 97124 |
|
762 |
380 |
$4.92 |
| 97010 |
|
3,307 |
1,370 |
$4.92 |
| 99215 |
Prolong outpt/office vis |
484 |
463 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
232 |
230 |
$0.00 |
| 97168 |
|
207 |
205 |
$0.00 |
| T2024 |
Serv asmnt/care plan waiver |
1,186 |
1,185 |
$0.00 |
| 99212 |
|
372 |
321 |
$0.00 |
| 97803 |
|
1,250 |
1,248 |
$0.00 |
| S9127 |
Social work visit, in the ho |
62 |
53 |
$0.00 |
| T1001 |
Nursing assessment/evaluatn |
1,224 |
1,223 |
$0.00 |
| 97164 |
|
2,599 |
2,416 |
$0.00 |
| 99600 |
|
562 |
188 |
$0.00 |
| T2003 |
N-et; encounter/trip |
601 |
601 |
$0.00 |
| 97542 |
|
41 |
26 |
$0.00 |
| 90658 |
|
154 |
150 |
$0.00 |
| 99442 |
|
110 |
95 |
$0.00 |
| G0008 |
Admin influenza virus vac |
285 |
283 |
$0.00 |
| S9129 |
Occupational therapy, in the |
5,135 |
2,675 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
462 |
443 |
$0.00 |
| 97535 |
|
566 |
432 |
$0.00 |
| 97165 |
|
359 |
351 |
$0.00 |
| S9131 |
Pt in the home per diem |
4,840 |
2,200 |
$0.00 |
| T1016 |
Case management |
4,818 |
3,720 |
$0.00 |
| S9128 |
Speech therapy, in the home, |
667 |
216 |
$0.00 |
| 99214 |
|
834 |
763 |
$0.00 |
| 99441 |
|
73 |
54 |
$0.00 |
| 90471 |
|
154 |
150 |
$0.00 |
| G0439 |
Ppps, subseq visit |
111 |
111 |
$0.00 |
| 90688 |
|
123 |
123 |
$0.00 |
| Q2039 |
Influenza virus vaccine, nos |
48 |
48 |
$0.00 |
| 99443 |
|
52 |
51 |
$0.00 |
| 97139 |
|
20 |
12 |
$0.00 |