| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
12,760 |
764 |
$994K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,438 |
1,188 |
$30K |
| 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) |
391 |
27 |
$12K |
| 90656 |
|
14 |
14 |
$72.28 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
16 |
$69.95 |
| G0008 |
Administration of influenza virus vaccine |
59 |
58 |
$18.28 |
| 90686 |
|
36 |
35 |
$14.33 |
| 90662 |
|
18 |
18 |
$4.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
36 |
24 |
$0.00 |
| 1036F |
|
20 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
43 |
26 |
$0.00 |