| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
5,144 |
532 |
$589K |
| S9123 |
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
1,978 |
618 |
$137K |
| T2024 |
Service assessment/plan of care development, waiver |
620 |
611 |
$135K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
2,075 |
215 |
$118K |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
453 |
258 |
$89K |
| S9131 |
Physical therapy; in the home, per diem |
108 |
27 |
$11K |
| S9124 |
Nursing care, in the home; by licensed practical nurse, per hour |
173 |
38 |
$4K |