| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Adult day care per diem |
155 |
124 |
$17K |
| 97116 |
|
9,691 |
3,496 |
$0.00 |
| 97530 |
|
11,417 |
4,316 |
$0.00 |
| S9123 |
Nursing care in home rn |
34,423 |
23,302 |
$0.00 |
| 97803 |
|
1,877 |
1,874 |
$0.00 |
| 99211 |
|
17,432 |
11,019 |
$0.00 |
| 97110 |
|
19,618 |
6,692 |
$0.00 |
| S9127 |
Social work visit, in the ho |
15,553 |
13,031 |
$0.00 |
| 99342 |
|
12 |
12 |
$0.00 |
| 97164 |
|
2,008 |
1,844 |
$0.00 |
| T1003 |
Lpn/lvn services up to 15min |
1,272 |
94 |
$0.00 |
| 98960 |
|
14,875 |
11,059 |
$0.00 |
| G0176 |
Opps/php/iop; activity thrpy |
3,715 |
3,345 |
$0.00 |
| 99348 |
|
594 |
517 |
$0.00 |
| 11721 |
|
1,531 |
1,527 |
$0.00 |
| A0130 |
Noner transport wheelch van |
1,726 |
1,009 |
$0.00 |
| G2012 |
Brief check in by md/qhp |
882 |
393 |
$0.00 |
| 97602 |
|
3,640 |
738 |
$0.00 |
| G0162 |
Hhc rn e&m plan svs, 15 min |
1,475 |
1,257 |
$0.00 |
| 97168 |
|
1,022 |
954 |
$0.00 |
| 97150 |
|
824 |
355 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
90 |
90 |
$0.00 |
| 92552 |
|
500 |
498 |
$0.00 |
| 97161 |
|
168 |
166 |
$0.00 |
| T1001 |
Nursing assessment/evaluatn |
103 |
103 |
$0.00 |
| 97542 |
|
17 |
17 |
$0.00 |
| 93010 |
|
41 |
41 |
$0.00 |
| 96160 |
|
54 |
45 |
$0.00 |
| G0270 |
Mnt subs tx for change dx |
62 |
62 |
$0.00 |
| 86318 |
|
59 |
54 |
$0.00 |
| 99212 |
|
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 |
|
55 |
53 |
$0.00 |
| 90472 |
|
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 med svc 15 min |
450 |
70 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |
| G8482 |
Flu immunize order/admin |
12 |
12 |
$0.00 |
| 99214 |
|
3,605 |
3,320 |
$0.00 |
| 94760 |
|
16,460 |
13,372 |
$0.00 |
| 2010F |
|
23,516 |
17,059 |
$0.00 |
| 97535 |
|
285 |
216 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
62 |
62 |
$0.00 |
| 99213 |
|
1,898 |
1,826 |
$0.00 |
| 97112 |
|
6,617 |
2,261 |
$0.00 |
| 82962 |
|
5,202 |
4,326 |
$0.00 |
| 97165 |
|
427 |
401 |
$0.00 |
| 36415 |
|
3,748 |
3,399 |
$0.00 |
| G0493 |
Rn care ea 15 min hh/hospice |
1,498 |
981 |
$0.00 |
| G8754 |
Dias bp less 90 |
15 |
15 |
$0.00 |
| S9451 |
Exercise class |
1,472 |
560 |
$0.00 |
| G0008 |
Admin influenza virus vac |
803 |
798 |
$0.00 |
| G2062 |
Qual nonmd est pt 11-20m |
29 |
27 |
$0.00 |
| 92508 |
|
1,241 |
653 |
$0.00 |
| H0033 |
Oral med adm direct observe |
299 |
183 |
$0.00 |
| 90471 |
|
386 |
374 |
$0.00 |
| 92523 |
|
205 |
204 |
$0.00 |
| 97166 |
|
84 |
81 |
$0.00 |
| T1028 |
Home environment assessment |
164 |
164 |
$0.00 |
| 99349 |
|
399 |
346 |
$0.00 |
| 94761 |
|
319 |
214 |
$0.00 |
| 90732 |
|
21 |
21 |
$0.00 |
| 92507 |
|
971 |
235 |
$0.00 |
| 99350 |
Prolong home eval add 15m |
14 |
13 |
$0.00 |
| T1019 |
Personal care ser per 15 min |
762 |
54 |
$0.00 |
| 97010 |
|
650 |
202 |
$0.00 |
| 86580 |
|
75 |
74 |
$0.00 |
| 99308 |
|
221 |
171 |
$0.00 |
| 97802 |
|
176 |
175 |
$0.00 |
| 97162 |
|
137 |
137 |
$0.00 |
| 96372 |
|
536 |
365 |
$0.00 |
| 96161 |
|
21 |
17 |
$0.00 |
| 99335 |
|
25 |
25 |
$0.00 |
| T1016 |
Case management |
27 |
16 |
$0.00 |
| 11055 |
|
13 |
13 |
$0.00 |
| 98967 |
|
16 |
16 |
$0.00 |
| S5125 |
Attendant care service /15m |
1,304 |
90 |
$0.00 |
| 99344 |
|
29 |
29 |
$0.00 |
| 93000 |
|
29 |
29 |
$0.00 |
| 99309 |
|
15 |
14 |
$0.00 |
| 92560 |
|
19 |
18 |
$0.00 |