| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
853 |
853 |
$69K |
| S5161 |
Emer rspns sys serv permonth |
8,336 |
8,336 |
$60K |
| D0120 |
|
1,041 |
692 |
$42K |
| D5110 |
|
14 |
14 |
$16K |
| D0170 |
|
149 |
147 |
$9K |
| D0150 |
|
88 |
88 |
$5K |
| D9430 |
|
151 |
146 |
$5K |
| D0220 |
|
71 |
70 |
$1K |
| D0140 |
|
13 |
13 |
$663.00 |
| 92004 |
|
16 |
16 |
$473.53 |
| 92014 |
|
12 |
12 |
$297.36 |
| G0127 |
Trim nail(s) |
2,530 |
2,255 |
$0.00 |
| S9470 |
Nutritional counseling, diet |
701 |
594 |
$0.00 |
| 99307 |
|
2,105 |
1,364 |
$0.00 |
| 97803 |
|
3,411 |
3,102 |
$0.00 |
| 99212 |
|
2,470 |
1,833 |
$0.00 |
| 99348 |
|
2,125 |
1,583 |
$0.00 |
| T2003 |
N-et; encounter/trip |
21,079 |
20,320 |
$0.00 |
| T1001 |
Nursing assessment/evaluatn |
13,346 |
8,809 |
$0.00 |
| 97164 |
|
5,619 |
4,161 |
$0.00 |
| 97110 |
|
3,871 |
1,184 |
$0.00 |
| 97530 |
|
1,972 |
698 |
$0.00 |
| S5130 |
Homaker service nos per 15m |
11,632 |
11,632 |
$0.00 |
| 91322 |
|
223 |
220 |
$0.00 |
| 99211 |
|
29,295 |
12,637 |
$0.00 |
| 97168 |
|
4,899 |
3,920 |
$0.00 |
| T2024 |
Serv asmnt/care plan waiver |
3,124 |
3,099 |
$0.00 |
| T1003 |
Lpn/lvn services up to 15min |
324,487 |
14,709 |
$0.00 |
| 85610 |
|
454 |
303 |
$0.00 |
| T1030 |
Rn home care per diem |
84 |
53 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
501 |
291 |
$0.00 |
| A0130 |
Noner transport wheelch van |
4,062 |
4,062 |
$0.00 |
| 90837 |
|
462 |
228 |
$0.00 |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
143 |
143 |
$0.00 |
| 90832 |
|
726 |
474 |
$0.00 |
| 97150 |
|
312 |
181 |
$0.00 |
| 97116 |
|
1,147 |
364 |
$0.00 |
| 69209 |
|
391 |
370 |
$0.00 |
| 11719 |
|
84 |
84 |
$0.00 |
| 97799 |
|
474 |
249 |
$0.00 |
| 97542 |
|
106 |
53 |
$0.00 |
| 99347 |
|
103 |
87 |
$0.00 |
| 99600 |
|
30 |
20 |
$0.00 |
| T1019 |
Personal care ser per 15 min |
19,388 |
19,272 |
$0.00 |
| 99213 |
|
4,939 |
3,740 |
$0.00 |
| 99214 |
|
6,149 |
4,526 |
$0.00 |
| 36415 |
|
7,287 |
6,350 |
$0.00 |
| 97802 |
|
336 |
336 |
$0.00 |
| 97139 |
|
3,390 |
583 |
$0.00 |
| 99441 |
|
1,883 |
1,204 |
$0.00 |
| S9451 |
Exercise class |
32,141 |
7,050 |
$0.00 |
| 96372 |
|
4,158 |
1,309 |
$0.00 |
| T1002 |
Rn services up to 15 minutes |
10,389 |
5,583 |
$0.00 |
| 29581 |
|
942 |
148 |
$0.00 |
| 97166 |
|
377 |
366 |
$0.00 |
| G0156 |
Hhcp-svs of aide,ea 15 min |
7,337 |
7,337 |
$0.00 |
| 90471 |
|
603 |
565 |
$0.00 |
| T1016 |
Case management |
41,175 |
18,624 |
$0.00 |
| 97535 |
|
333 |
183 |
$0.00 |
| 97162 |
|
392 |
389 |
$0.00 |
| S5102 |
Adult day care per diem |
16,025 |
16,025 |
$0.00 |
| 81000 |
|
713 |
649 |
$0.00 |
| 99349 |
|
394 |
292 |
$0.00 |
| 99308 |
|
55 |
47 |
$0.00 |
| 97124 |
|
1,153 |
413 |
$0.00 |
| S9452 |
Nutrition class |
99 |
97 |
$0.00 |
| T1028 |
Home environment assessment |
62 |
57 |
$0.00 |
| 94640 |
|
578 |
459 |
$0.00 |
| 94760 |
|
310 |
276 |
$0.00 |
| T1031 |
Lpn home care per diem |
2,835 |
218 |
$0.00 |
| 82962 |
|
432 |
263 |
$0.00 |
| 90480 |
|
231 |
228 |
$0.00 |
| G0008 |
Admin influenza virus vac |
1,187 |
1,183 |
$0.00 |
| 90688 |
|
317 |
314 |
$0.00 |
| 86580 |
|
47 |
40 |
$0.00 |
| 99350 |
Prolong home eval add 15m |
56 |
56 |
$0.00 |
| 94660 |
|
80 |
63 |
$0.00 |
| S9445 |
Pt education noc individ |
390 |
363 |
$0.00 |
| 97112 |
|
210 |
74 |
$0.00 |
| 90686 |
|
229 |
229 |
$0.00 |
| G0151 |
Hhcp-serv of pt,ea 15 min |
60 |
18 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
18 |
18 |
$0.00 |