| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97116 |
|
2,589 |
659 |
$29.23 |
| 97139 |
|
35 |
28 |
$0.00 |
| T1019 |
Personal care ser per 15 min |
109,307 |
7,181 |
$0.00 |
| S5100 |
Adult daycare services 15min |
122,224 |
13,438 |
$0.00 |
| S5125 |
Attendant care service /15m |
120,674 |
13,275 |
$0.00 |
| T1502 |
Medication admin visit |
16,679 |
1,866 |
$0.00 |
| 36415 |
|
1,604 |
1,132 |
$0.00 |
| A0190 |
Noner transport meals recip |
143,858 |
16,588 |
$0.00 |
| 97597 |
|
1,237 |
252 |
$0.00 |
| 99214 |
|
809 |
675 |
$0.00 |
| 99213 |
|
1,001 |
757 |
$0.00 |
| 99308 |
|
891 |
649 |
$0.00 |
| 82962 |
|
4,262 |
547 |
$0.00 |
| G8410 |
Eval on foot documented |
157 |
124 |
$0.00 |
| T1004 |
Nsg aide service up to 15min |
1,006 |
837 |
$0.00 |
| T1002 |
Rn services up to 15 minutes |
2,026 |
1,202 |
$0.00 |
| 85018 |
|
94 |
72 |
$0.00 |
| 98967 |
|
280 |
233 |
$0.00 |
| T1503 |
Med admin, not oral/inject |
5,096 |
673 |
$0.00 |
| 99000 |
|
125 |
101 |
$0.00 |
| 90471 |
|
65 |
63 |
$0.00 |
| 96151 |
|
28 |
27 |
$0.00 |
| 97112 |
|
52 |
17 |
$0.00 |
| T1028 |
Home environment assessment |
16 |
14 |
$0.00 |
| G0008 |
Admin influenza virus vac |
75 |
72 |
$0.00 |
| S5165 |
Home modifications per serv |
56 |
47 |
$0.00 |
| 97164 |
|
798 |
762 |
$0.00 |
| T2003 |
N-et; encounter/trip |
204,291 |
14,085 |
$0.00 |
| 97530 |
|
858 |
357 |
$0.00 |
| T1003 |
Lpn/lvn services up to 15min |
2,312 |
1,114 |
$0.00 |
| T1001 |
Nursing assessment/evaluatn |
1,108 |
772 |
$0.00 |
| 0580F |
|
3,061 |
1,880 |
$0.00 |
| 99211 |
|
588 |
471 |
$0.00 |
| G0127 |
Trim nail(s) |
694 |
632 |
$0.00 |
| 97110 |
|
4,745 |
1,042 |
$0.00 |
| 99307 |
|
424 |
224 |
$0.00 |
| S5170 |
Homedelivered prepared meal |
1,695 |
912 |
$0.00 |
| 98966 |
|
578 |
445 |
$0.00 |
| S0390 |
Rout foot care per visit |
719 |
653 |
$0.00 |
| G9187 |
Bpci home visit |
772 |
643 |
$0.00 |
| 97168 |
|
894 |
854 |
$0.00 |
| 11719 |
|
575 |
529 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
13 |
13 |
$0.00 |
| 97803 |
|
358 |
341 |
$0.00 |
| 11721 |
|
139 |
129 |
$0.00 |
| 99080 |
|
98 |
55 |
$0.00 |
| 99212 |
|
485 |
407 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
40 |
39 |
$0.00 |
| S0190 |
Mifepristone, oral, 200 mg |
45 |
44 |
$0.00 |
| 98968 |
|
13 |
12 |
$0.00 |
| 99442 |
|
14 |
12 |
$0.00 |
| 90682 |
|
109 |
103 |
$0.00 |
| 90714 |
|
13 |
13 |
$0.00 |
| S9470 |
Nutritional counseling, diet |
12 |
12 |
$0.00 |