| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5170 |
Home delivered meals, including preparation; per meal |
3,915,497 |
168,278 |
$28.09M |
| T2031 |
Assisted living; waiver, per diem |
93,795 |
5,265 |
$10.42M |
| 90694 |
|
417 |
399 |
$23K |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
175 |
52 |
$16K |
| G0008 |
Administration of influenza virus vaccine |
868 |
836 |
$9K |
| 90653 |
|
74 |
71 |
$7K |
| 90662 |
|
128 |
125 |
$5K |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
48 |
48 |
$2K |
| 90674 |
|
81 |
76 |
$639.71 |
| 90756 |
|
63 |
63 |
$600.14 |
| 90688 |
|
14 |
14 |
$112.33 |