| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0659 |
|
62,045 |
2,231 |
$6.46M |
| 0650 |
Inj, levothyroxine, hikma |
20,519 |
1,202 |
$3.40M |
| S0311 |
Comp mgmt care coord adv ill |
3,128 |
2,845 |
$1.65M |
| 0651 |
|
3,026 |
133 |
$504K |
| Q5001 |
Hospice or home hlth in home |
3,955 |
223 |
$296K |
| A0429 |
Bls-emergency |
3,016 |
116 |
$287K |
| 0658 |
|
26 |
25 |
$91K |
| T2022 |
Case management, per month |
280 |
276 |
$60K |
| 99349 |
|
1,170 |
1,022 |
$32K |
| S9123 |
Nursing care in home rn |
275 |
222 |
$10K |
| 99490 |
Ccm add 20min |
389 |
376 |
$6K |
| G0299 |
Hhs/hospice of rn ea 15 min |
1,133 |
993 |
$5K |
| 99345 |
Prolong home eval add 15m |
71 |
67 |
$4K |
| 99368 |
|
930 |
905 |
$4K |
| S5110 |
Family homecare training 15m |
343 |
282 |
$3K |
| G9012 |
Other specified case mgmt |
62 |
61 |
$3K |
| G0162 |
Hhc rn e&m plan svs, 15 min |
834 |
809 |
$2K |
| 99350 |
Prolong home eval add 15m |
46 |
43 |
$1K |
| 0551 |
|
1,459 |
283 |
$15.06 |
| 0571 |
|
605 |
142 |
$0.00 |