| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,107 |
1,022 |
$125K |
| G0156 |
Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
1,294 |
150 |
$97K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
1,923 |
1,906 |
$53K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
573 |
290 |
$23K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
721 |
695 |
$20K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
32 |
29 |
$17K |
| E0601 |
Continuous positive airway pressure (cpap) device |
145 |
144 |
$16K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
155 |
153 |
$13K |
| E0570 |
Nebulizer, with compressor |
281 |
243 |
$12K |
| S5130 |
Homemaker service, nos; per 15 minutes |
66 |
14 |
$4K |
| A0425 |
Ground mileage, per statute mile |
119 |
91 |
$4K |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
16 |
13 |
$4K |
| G0152 |
Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes |
32 |
12 |
$3K |
| 80053 |
Comprehensive metabolic panel |
269 |
102 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
180 |
92 |
$1K |
| S5160 |
Emergency response system; installation and testing |
26 |
26 |
$780.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
61 |
29 |
$523.78 |
| 84443 |
Thyroid stimulating hormone (TSH) |
22 |
12 |
$318.52 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
34 |
14 |
$281.86 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
27 |
13 |
$185.61 |
| 84439 |
|
24 |
12 |
$171.02 |
| 81001 |
|
57 |
27 |
$170.82 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
231 |
137 |
$40.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
459 |
231 |
$0.00 |
| T1001 |
Nursing assessment / evaluation |
118 |
103 |
$0.00 |
| A0130 |
Non-emergency transportation: wheelchair van |
8,060 |
1,762 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
16 |
12 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
16 |
12 |
$0.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
221 |
114 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
16 |
12 |
$0.00 |
| 97116 |
|
13 |
12 |
$0.00 |
| T1003 |
Lpn/lvn services, up to 15 minutes |
53 |
28 |
$0.00 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
12 |
12 |
$0.00 |
| T1002 |
Rn services, up to 15 minutes |
1,089 |
524 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
1,049 |
666 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
27 |
27 |
$0.00 |
| S9977 |
Meals, per diem, not otherwise specified |
5,376 |
1,146 |
$0.00 |
| S5101 |
Day care services, adult; per half day |
5,196 |
1,138 |
$0.00 |
| T1004 |
Services of a qualified nursing aide, up to 15 minutes |
6,243 |
979 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
556 |
454 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
16 |
12 |
$0.00 |
| S5102 |
Day care services, adult; per diem |
161 |
115 |
$0.00 |
| 96156 |
|
16 |
16 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
16 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$0.00 |
| 97166 |
|
16 |
13 |
$0.00 |
| 97802 |
|
12 |
12 |
$0.00 |
| 99000 |
|
15 |
15 |
$0.00 |