| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
155 |
124 |
$17K |
| 97116 |
|
9,691 |
3,496 |
$0.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
11,417 |
4,316 |
$0.00 |
| 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) |
34,423 |
23,302 |
$0.00 |
| 97803 |
|
1,877 |
1,874 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17,432 |
11,019 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
19,618 |
6,692 |
$0.00 |
| S9127 |
Social work visit, in the home, per diem |
15,553 |
13,031 |
$0.00 |
| 99342 |
|
12 |
12 |
$0.00 |
| 97164 |
|
2,008 |
1,844 |
$0.00 |
| T1003 |
Lpn/lvn services, up to 15 minutes |
1,272 |
94 |
$0.00 |
| 98960 |
|
14,875 |
11,059 |
$0.00 |
| G0176 |
Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
3,715 |
3,345 |
$0.00 |
| 99348 |
|
594 |
517 |
$0.00 |
| 11721 |
|
1,531 |
1,527 |
$0.00 |
| A0130 |
Non-emergency transportation: wheelchair van |
1,726 |
1,009 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
882 |
393 |
$0.00 |
| 97602 |
|
3,640 |
738 |
$0.00 |
| G0162 |
Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) |
1,475 |
1,257 |
$0.00 |
| 97168 |
|
1,022 |
954 |
$0.00 |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
824 |
355 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
90 |
90 |
$0.00 |
| 92552 |
|
500 |
498 |
$0.00 |
| 97161 |
|
168 |
166 |
$0.00 |
| T1001 |
Nursing assessment / evaluation |
103 |
103 |
$0.00 |
| 97542 |
|
17 |
17 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
41 |
41 |
$0.00 |
| 96160 |
|
54 |
45 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
62 |
62 |
$0.00 |
| 86318 |
|
59 |
54 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
159 |
136 |
$0.00 |
| 96158 |
|
123 |
76 |
$0.00 |
| 90630 |
|
144 |
141 |
$0.00 |
| 96152 |
|
43 |
27 |
$0.00 |
| 90658 |
|
44 |
44 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
55 |
53 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
45 |
45 |
$0.00 |
| 92610 |
|
238 |
236 |
$0.00 |
| 99307 |
|
103 |
60 |
$0.00 |
| 99306 |
Prolong nursin fac eval 15m |
25 |
25 |
$0.00 |
| 98966 |
|
15 |
15 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
58 |
58 |
$0.00 |
| 11765 |
|
13 |
13 |
$0.00 |
| H2010 |
Comprehensive medication services, per 15 minutes |
450 |
70 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
12 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,605 |
3,320 |
$0.00 |
| 94760 |
|
16,460 |
13,372 |
$0.00 |
| 2010F |
|
23,516 |
17,059 |
$0.00 |
| 97535 |
Self-care/home management training, each 15 minutes |
285 |
216 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
62 |
62 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,898 |
1,826 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
6,617 |
2,261 |
$0.00 |
| 82962 |
|
5,202 |
4,326 |
$0.00 |
| 97165 |
|
427 |
401 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,748 |
3,399 |
$0.00 |
| G0493 |
Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) |
1,498 |
981 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
15 |
15 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,472 |
560 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
803 |
798 |
$0.00 |
| G2062 |
Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes |
29 |
27 |
$0.00 |
| 92508 |
Group treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,241 |
653 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
299 |
183 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
386 |
374 |
$0.00 |
| 92523 |
|
205 |
204 |
$0.00 |
| 97166 |
|
84 |
81 |
$0.00 |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
164 |
164 |
$0.00 |
| 99349 |
|
399 |
346 |
$0.00 |
| 94761 |
|
319 |
214 |
$0.00 |
| 90732 |
|
21 |
21 |
$0.00 |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
971 |
235 |
$0.00 |
| 99350 |
Prolong home eval add 15m |
14 |
13 |
$0.00 |
| 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) |
762 |
54 |
$0.00 |
| 97010 |
|
650 |
202 |
$0.00 |
| 86580 |
|
75 |
74 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
221 |
171 |
$0.00 |
| 97802 |
|
176 |
175 |
$0.00 |
| 97162 |
|
137 |
137 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
536 |
365 |
$0.00 |
| 96161 |
|
21 |
17 |
$0.00 |
| 99335 |
|
25 |
25 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
27 |
16 |
$0.00 |
| 11055 |
|
13 |
13 |
$0.00 |
| 98967 |
|
16 |
16 |
$0.00 |
| S5125 |
Attendant care services; per 15 minutes |
1,304 |
90 |
$0.00 |
| 99344 |
|
29 |
29 |
$0.00 |
| 93000 |
|
29 |
29 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
15 |
14 |
$0.00 |
| 92560 |
|
19 |
18 |
$0.00 |