| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
53,508 |
15,113 |
$2.40M |
| 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) |
2,261 |
1,638 |
$293K |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
1,214 |
467 |
$114K |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
2,487 |
1,094 |
$108K |
| S5130 |
Homemaker service, nos; per 15 minutes |
891 |
198 |
$29K |
| T2003 |
Non-emergency transportation; encounter/trip |
604 |
578 |
$25K |
| 99402 |
|
152 |
151 |
$5K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
30 |
30 |
$3K |
| T1015 |
Clinic visit/encounter, all-inclusive |
68 |
64 |
$2K |
| 99188 |
|
124 |
124 |
$2K |
| D1206 |
Topical application of fluoride varnish |
210 |
210 |
$1K |
| 92551 |
|
179 |
178 |
$1K |
| 0134A |
|
31 |
31 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
203 |
202 |
$1K |
| 96127 |
|
204 |
202 |
$730.02 |
| 83655 |
|
107 |
107 |
$525.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
49 |
$484.13 |
| 99173 |
|
179 |
178 |
$294.32 |
| 36416 |
|
107 |
107 |
$94.38 |
| 90686 |
|
45 |
44 |
$33.57 |
| S9992 |
Transportation costs to and from trial location and local transportation costs (e.g., fares for taxicab or bus) for clinical trial participant and one caregiver/companion |
220 |
200 |
$0.00 |