| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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) |
37,767 |
2,812 |
$7.50M |
| 96153 |
|
34,587 |
2,260 |
$3.76M |
| 96165 |
|
23,038 |
1,843 |
$2.31M |
| 96152 |
|
10,282 |
727 |
$1.79M |
| 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) |
23,590 |
2,260 |
$1.59M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
43,178 |
2,982 |
$1.12M |
| 96159 |
|
5,408 |
428 |
$978K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
41,430 |
3,145 |
$656K |
| 96164 |
|
23,513 |
1,869 |
$268K |
| A0130 |
Non-emergency transportation: wheelchair van |
5,330 |
362 |
$138K |
| 96158 |
|
5,694 |
443 |
$103K |
| T1002 |
Rn services, up to 15 minutes |
208 |
86 |
$29K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
21,082 |
2,168 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
452 |
306 |
$7K |
| 99384 |
|
61 |
60 |
$4K |
| T1001 |
Nursing assessment / evaluation |
150 |
109 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
82 |
81 |
$1K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
999 |
83 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$989.38 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
42 |
42 |
$925.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$127.20 |
| 90461 |
|
16 |
16 |
$89.88 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$58.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
160 |
80 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |