| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management, each 15 minutes |
45,897 |
11,119 |
$2.97M |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
31,483 |
11,256 |
$1.43M |
| 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) |
4,196 |
3,034 |
$639K |
| T2003 |
Non-emergency transportation; encounter/trip |
357 |
353 |
$31K |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
239 |
232 |
$22K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
105 |
105 |
$9K |
| T2038 |
Community transition, waiver; per service |
53 |
28 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
214 |
205 |
$2K |
| 90662 |
|
15 |
15 |
$320.60 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$138.24 |
| 96161 |
|
13 |
12 |
$22.64 |
| T2024 |
Service assessment/plan of care development, waiver |
33 |
30 |
$0.00 |