| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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) |
3,409 |
189 |
$430K |
| 99350 |
Prolong home eval add 15m |
13,252 |
12,774 |
$395K |
| 99349 |
|
7,960 |
7,725 |
$159K |
| 99345 |
Prolong home eval add 15m |
1,665 |
1,656 |
$56K |
| 99344 |
|
1,723 |
1,714 |
$48K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
441 |
441 |
$11K |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
1,100 |
1,095 |
$3K |
| 99490 |
Ccm add 20min |
333 |
330 |
$681.12 |
| 99454 |
|
72 |
68 |
$667.65 |
| 90674 |
|
188 |
177 |
$451.72 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
152 |
152 |
$380.52 |
| 99457 |
|
55 |
55 |
$350.55 |
| G0008 |
Administration of influenza virus vaccine |
249 |
247 |
$276.38 |
| 90756 |
|
58 |
56 |
$155.12 |
| 92552 |
|
63 |
62 |
$58.85 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
213 |
213 |
$0.00 |
| 1170F |
|
3,030 |
2,902 |
$0.00 |
| 1125F |
|
2,100 |
1,997 |
$0.00 |
| 0012A |
|
13 |
13 |
$0.00 |
| 3074F |
|
148 |
143 |
$0.00 |
| 3075F |
|
35 |
35 |
$0.00 |
| 3079F |
|
43 |
43 |
$0.00 |
| 0011A |
|
16 |
16 |
$0.00 |
| 3060F |
|
21 |
21 |
$0.00 |
| 3044F |
|
76 |
73 |
$0.00 |
| 91301 |
|
35 |
35 |
$0.00 |
| 3014F |
|
18 |
18 |
$0.00 |
| 3017F |
|
13 |
13 |
$0.00 |
| 1150F |
|
45 |
44 |
$0.00 |
| 1126F |
|
38 |
38 |
$0.00 |
| 1160F |
|
2,931 |
2,797 |
$0.00 |
| 3078F |
|
176 |
171 |
$0.00 |
| 1159F |
|
3,039 |
2,906 |
$0.00 |
| 3077F |
|
35 |
35 |
$0.00 |
| 1158F |
|
24 |
24 |
$0.00 |
| 2022F |
|
27 |
27 |
$0.00 |