| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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) |
401,161 |
29,450 |
$18.33M |
| S5130 |
Homemaker service, nos; per 15 minutes |
227,910 |
28,328 |
$14.62M |
| S5102 |
Day care services, adult; per diem |
188,584 |
12,623 |
$10.08M |
| T2003 |
Non-emergency transportation; encounter/trip |
162,640 |
12,070 |
$6.99M |
| S5135 |
Companion care, adult (e.g., iadl/adl); per 15 minutes |
132,207 |
23,907 |
$6.89M |
| H0043 |
Supported housing, per diem |
73,219 |
6,301 |
$6.60M |
| S5140 |
Foster care, adult; per diem |
44,107 |
2,570 |
$6.33M |
| T2022 |
Case management, per month |
46,104 |
45,076 |
$2.45M |
| S5170 |
Home delivered meals, including preparation; per meal |
125,684 |
9,494 |
$1.99M |
| S5101 |
Day care services, adult; per half day |
26,138 |
2,715 |
$988K |
| S5175 |
Laundry service, external, professional; per order |
18,963 |
4,451 |
$880K |
| T1020 |
Personal care services, per diem, 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) |
196,457 |
15,545 |
$840K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
31,453 |
31,436 |
$823K |
| H0046 |
Mental health services, not otherwise specified |
14,055 |
13,529 |
$328K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
3,551 |
3,379 |
$241K |
| S5165 |
Home modifications; per service |
2,443 |
2,258 |
$203K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
3,351 |
1,783 |
$185K |
| A0425 |
Ground mileage, per statute mile |
3,231 |
1,247 |
$16K |
| S5100 |
Day care services, adult; per 15 minutes |
249 |
78 |
$13K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
102 |
102 |
$12K |
| 90837 |
Psychotherapy, 53 minutes with patient |
457 |
193 |
$8K |
| T2025 |
Waiver services; not otherwise specified (nos) |
238 |
40 |
$8K |
| S5120 |
Chore services; per 15 minutes |
49 |
15 |
$4K |
| 99339 |
|
121 |
121 |
$3K |
| 99429 |
|
18 |
18 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
167 |
102 |
$2K |
| A0100 |
Non-emergency transportation; taxi |
70 |
12 |
$2K |
| S5121 |
Chore services; per diem |
29 |
13 |
$1K |
| 99437 |
|
29 |
29 |
$480.00 |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
3,451 |
3,441 |
$0.00 |
| T2024 |
Service assessment/plan of care development, waiver |
4,737 |
3,931 |
$0.00 |
| G9004 |
Coordinated care fee, risk adjusted low, initial |
489 |
321 |
$0.00 |
| T2038 |
Community transition, waiver; per service |
750 |
607 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
607 |
607 |
$0.00 |
| G9011 |
Coordinated care fee, risk adjusted maintenance, level 5 |
13,779 |
11,361 |
$0.00 |
| G9920 |
Screening performed and negative |
26 |
26 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
843 |
673 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
1,187 |
852 |
$0.00 |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
29,905 |
17,973 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
17 |
12 |
$0.00 |