| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
5,678 |
508 |
$728K |
| T2003 |
Non-emergency transportation; encounter/trip |
1,390 |
113 |
$67K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
888 |
76 |
$35K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
154 |
16 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
126 |
15 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
121 |
16 |
$0.00 |
| G2024 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source |
45 |
12 |
$0.00 |
| 97535 |
Self-care/home management training, each 15 minutes |
137 |
16 |
$0.00 |