| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1003 |
Lpn/lvn services up to 15min |
10,822 |
5,795 |
$0.00 |
| 96159 |
|
76 |
51 |
$0.00 |
| H2032 |
Activity therapy, per 15 min |
65,842 |
10,142 |
$0.00 |
| 97530 |
|
9,154 |
4,824 |
$0.00 |
| 97150 |
|
3,305 |
1,714 |
$0.00 |
| H0034 |
Med trng & support per 15min |
2,816 |
2,212 |
$0.00 |
| 97110 |
|
11,229 |
4,053 |
$0.00 |
| T1001 |
Nursing assessment/evaluatn |
16,137 |
9,452 |
$0.00 |
| 98966 |
|
23,216 |
5,413 |
$0.00 |
| 99212 |
|
3,844 |
3,047 |
$0.00 |
| G0444 |
Depression screen annual |
1,633 |
1,630 |
$0.00 |
| G0270 |
Mnt subs tx for change dx |
2,441 |
2,287 |
$0.00 |
| 98960 |
|
577 |
474 |
$0.00 |
| S9470 |
Nutritional counseling, diet |
1,497 |
1,371 |
$0.00 |
| T2003 |
N-et; encounter/trip |
64,184 |
9,750 |
$0.00 |
| 97168 |
|
989 |
989 |
$0.00 |
| 97116 |
|
4,403 |
1,916 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
3,233 |
2,983 |
$0.00 |
| 81002 |
|
58 |
56 |
$0.00 |
| 90715 |
|
176 |
176 |
$0.00 |
| 97161 |
|
363 |
363 |
$0.00 |
| 97803 |
|
2,545 |
2,515 |
$0.00 |
| 99497 |
|
187 |
181 |
$0.00 |
| 99211 |
|
2,059 |
1,601 |
$0.00 |
| 93005 |
|
165 |
160 |
$0.00 |
| 92610 |
|
72 |
72 |
$0.00 |
| 90653 |
|
136 |
136 |
$0.00 |
| H2010 |
Comprehensive med svc 15 min |
1,986 |
1,953 |
$0.00 |
| 11056 |
|
29 |
28 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
1,064 |
307 |
$0.00 |
| G0159 |
Hhc pt maint ea 15 min |
790 |
316 |
$0.00 |
| 97542 |
|
73 |
51 |
$0.00 |
| 69210 |
|
36 |
36 |
$0.00 |
| 90736 |
|
111 |
111 |
$0.00 |
| 90833 |
|
119 |
117 |
$0.00 |
| G0127 |
Trim nail(s) |
72 |
72 |
$0.00 |
| H0031 |
Mh health assess by non-md |
67 |
66 |
$0.00 |
| 90837 |
|
282 |
169 |
$0.00 |
| 97602 |
|
1,672 |
412 |
$0.00 |
| 99442 |
|
4,252 |
3,181 |
$0.00 |
| 99078 |
|
166 |
134 |
$0.00 |
| 90670 |
|
137 |
137 |
$0.00 |
| 87804 |
|
65 |
65 |
$0.00 |
| 98968 |
|
15 |
12 |
$0.00 |
| 11721 |
|
17 |
17 |
$0.00 |
| 97164 |
|
17 |
17 |
$0.00 |
| H0046 |
Mental health service, nos |
14 |
12 |
$0.00 |
| 90853 |
|
53 |
28 |
$0.00 |
| S9453 |
Smoking cessation class |
21 |
20 |
$0.00 |
| 90472 |
|
15 |
15 |
$0.00 |
| T1002 |
Rn services up to 15 minutes |
28,797 |
12,213 |
$0.00 |
| G0008 |
Admin influenza virus vac |
1,165 |
1,162 |
$0.00 |
| 96156 |
|
2,032 |
2,015 |
$0.00 |
| S9977 |
Meals per diem |
64,397 |
9,810 |
$0.00 |
| 99000 |
|
4,886 |
4,279 |
$0.00 |
| T1502 |
Medication admin visit |
11,837 |
2,755 |
$0.00 |
| S5102 |
Adult day care per diem |
65,263 |
9,907 |
$0.00 |
| S5125 |
Attendant care service /15m |
34,708 |
4,770 |
$0.00 |
| 99214 |
|
3,259 |
2,861 |
$0.00 |
| S9445 |
Pt education noc individ |
16,584 |
7,627 |
$0.00 |
| 97162 |
|
676 |
676 |
$0.00 |
| 99213 |
|
2,677 |
2,379 |
$0.00 |
| 90471 |
|
1,821 |
1,715 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
1,380 |
1,291 |
$0.00 |
| S5175 |
Laundry serv,ext,prof,/order |
150 |
99 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
120 |
120 |
$0.00 |
| 36415 |
|
3,840 |
3,493 |
$0.00 |
| 99441 |
|
829 |
678 |
$0.00 |
| 97112 |
|
1,707 |
880 |
$0.00 |
| S9451 |
Exercise class |
224 |
132 |
$0.00 |
| 96150 |
|
890 |
705 |
$0.00 |
| S9446 |
Pt education noc group |
49,464 |
8,553 |
$0.00 |
| 82962 |
|
1,440 |
432 |
$0.00 |
| 96151 |
|
1,177 |
1,018 |
$0.00 |
| T1016 |
Case management |
7,423 |
5,157 |
$0.00 |
| 97010 |
|
3,265 |
1,572 |
$0.00 |
| G0439 |
Ppps, subseq visit |
260 |
260 |
$0.00 |
| G0160 |
Hhc occup therapy ea 15 |
824 |
366 |
$0.00 |
| 97535 |
|
2,780 |
1,850 |
$0.00 |
| T1028 |
Home environment assessment |
1,631 |
1,564 |
$0.00 |
| H0033 |
Oral med adm direct observe |
5,100 |
781 |
$0.00 |
| 99443 |
|
4,819 |
3,782 |
$0.00 |
| 97802 |
|
347 |
347 |
$0.00 |
| 87426 |
|
297 |
259 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
187 |
183 |
$0.00 |
| 97140 |
|
925 |
478 |
$0.00 |
| 92526 |
|
194 |
107 |
$0.00 |
| 99309 |
|
44 |
27 |
$0.00 |
| 99606 |
|
2,396 |
2,196 |
$0.00 |
| 93922 |
|
96 |
96 |
$0.00 |
| 97165 |
|
55 |
55 |
$0.00 |
| 86580 |
|
100 |
100 |
$0.00 |
| T2025 |
Waiver service, nos |
24 |
24 |
$0.00 |
| S5190 |
Wellness assessment by nonph |
136 |
126 |
$0.00 |
| T2022 |
Case management, per month |
24 |
24 |
$0.00 |
| S5161 |
Emer rspns sys serv permonth |
19 |
19 |
$0.00 |
| 98967 |
|
139 |
40 |
$0.00 |
| 98962 |
|
27 |
16 |
$0.00 |