| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1030 |
Rn home care per diem |
3,906 |
910 |
$421K |
| T1021 |
Hh aide or cn aide per visit |
7,532 |
580 |
$367K |
| S9131 |
Pt in the home per diem |
828 |
263 |
$76K |
| T1001 |
Nursing assessment/evaluatn |
688 |
608 |
$62K |
| T1002 |
Rn services up to 15 minutes |
480 |
155 |
$40K |
| G0299 |
Hhs/hospice of rn ea 15 min |
12,566 |
2,476 |
$6K |
| 90694 |
|
34 |
34 |
$852.12 |
| 90686 |
|
12 |
12 |
$204.12 |
| 90471 |
|
50 |
50 |
$48.00 |
| 90472 |
|
26 |
26 |
$0.00 |
| 0071A |
|
13 |
12 |
$0.00 |
| G0162 |
Hhc rn e&m plan svs, 15 min |
135 |
64 |
$0.00 |
| Q5001 |
Hospice or home hlth in home |
1,726 |
1,691 |
$0.00 |
| G0152 |
Hhcp-serv of ot,ea 15 min |
1,590 |
617 |
$0.00 |
| G0156 |
Hhcp-svs of aide,ea 15 min |
6,802 |
875 |
$0.00 |
| G0151 |
Hhcp-serv of pt,ea 15 min |
5,422 |
1,433 |
$0.00 |
| G0008 |
Admin influenza virus vac |
46 |
46 |
$0.00 |
| 91307 |
|
14 |
13 |
$0.00 |
| G0300 |
Hhs/hospice of lpn ea 15 min |
72 |
25 |
$0.00 |