| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5130 |
Homemaker service, nos; per 15 minutes |
23,319 |
3,062 |
$3.78M |
| T2022 |
Case management, per month |
8,368 |
7,908 |
$2.97M |
| T1015 |
Clinic visit/encounter, all-inclusive |
10,534 |
7,472 |
$2.17M |
| T2025 |
Waiver services; not otherwise specified (nos) |
8,481 |
7,908 |
$2.04M |
| G0156 |
Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
1,229 |
172 |
$366K |
| S5170 |
Home delivered meals, including preparation; per meal |
3,140 |
3,050 |
$125K |
| G9920 |
Screening performed and negative |
215 |
215 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,459 |
2,090 |
$780.05 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,779 |
3,109 |
$703.07 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
592 |
300 |
$173.79 |
| 99215 |
Prolong outpt/office vis |
133 |
127 |
$124.62 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
436 |
253 |
$50.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,084 |
973 |
$38.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
394 |
381 |
$35.23 |
| 99442 |
|
331 |
164 |
$29.96 |
| 1036F |
|
683 |
370 |
$25.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
312 |
167 |
$0.00 |
| 4270F |
|
45 |
29 |
$0.00 |
| 3078F |
|
388 |
219 |
$0.00 |
| 90682 |
|
27 |
27 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
177 |
129 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
63 |
44 |
$0.00 |
| 3077F |
|
85 |
42 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
19 |
12 |
$0.00 |
| 4004F |
|
26 |
14 |
$0.00 |
| 99000 |
|
1,647 |
1,501 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
312 |
178 |
$0.00 |
| 3079F |
|
193 |
110 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
248 |
139 |
$0.00 |
| 0011A |
|
33 |
18 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
113 |
55 |
$0.00 |
| 3074F |
|
504 |
277 |
$0.00 |
| 91301 |
|
63 |
31 |
$0.00 |
| 1126F |
|
822 |
451 |
$0.00 |
| 3080F |
|
34 |
15 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
25 |
$0.00 |
| 1035F |
|
23 |
13 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
67 |
14 |
$0.00 |
| 1125F |
|
23 |
16 |
$0.00 |