| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
2,025 |
1,007 |
$0.00 |
| S9127 |
Social work visit, in the ho |
1,662 |
1,532 |
$0.00 |
| A0130 |
Noner transport wheelch van |
8,388 |
8,387 |
$0.00 |
| 97110 |
|
4,921 |
1,844 |
$0.00 |
| 97164 |
|
1,722 |
1,628 |
$0.00 |
| 99600 |
|
108,985 |
13,102 |
$0.00 |
| G2168 |
Svs by pt in home health |
1,484 |
573 |
$0.00 |
| 97803 |
|
815 |
815 |
$0.00 |
| 99211 |
|
3,217 |
1,857 |
$0.00 |
| G0159 |
Hhc pt maint ea 15 min |
585 |
296 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
1,894 |
1,846 |
$0.00 |
| 97116 |
|
452 |
235 |
$0.00 |
| G2169 |
Svs by ot in home health |
711 |
282 |
$0.00 |
| 97168 |
|
1,074 |
1,038 |
$0.00 |
| S5130 |
Homaker service nos per 15m |
5,827 |
5,726 |
$0.00 |
| T2024 |
Serv asmnt/care plan waiver |
1,096 |
1,089 |
$0.00 |
| T1001 |
Nursing assessment/evaluatn |
3,460 |
2,747 |
$0.00 |
| 99212 |
|
76 |
74 |
$0.00 |
| 90658 |
|
459 |
457 |
$0.00 |
| 97537 |
|
53 |
37 |
$0.00 |
| S9123 |
Nursing care in home rn |
57 |
55 |
$0.00 |
| 97161 |
|
26 |
26 |
$0.00 |
| 99213 |
|
377 |
339 |
$0.00 |
| G0152 |
Hhcp-serv of ot,ea 15 min |
1,202 |
924 |
$0.00 |
| 97162 |
|
271 |
260 |
$0.00 |
| 97165 |
|
338 |
330 |
$0.00 |
| 97802 |
|
1,048 |
1,035 |
$0.00 |
| 99441 |
|
82 |
64 |
$0.00 |
| G0151 |
Hhcp-serv of pt,ea 15 min |
2,215 |
847 |
$0.00 |
| T1019 |
Personal care ser per 15 min |
6,181 |
6,176 |
$0.00 |
| G0156 |
Hhcp-svs of aide,ea 15 min |
5,108 |
5,108 |
$0.00 |
| 99214 |
|
1,407 |
1,312 |
$0.00 |
| T1016 |
Case management |
4,720 |
3,581 |
$0.00 |
| S5102 |
Adult day care per diem |
5,129 |
5,129 |
$0.00 |
| 36415 |
|
2,564 |
2,208 |
$0.00 |
| G0160 |
Hhc occup therapy ea 15 |
285 |
140 |
$0.00 |
| S5125 |
Attendant care service /15m |
445 |
445 |
$0.00 |
| 96372 |
|
929 |
691 |
$0.00 |
| 99506 |
|
290 |
234 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
885 |
871 |
$0.00 |
| 97535 |
|
1,181 |
725 |
$0.00 |
| 97166 |
|
266 |
264 |
$0.00 |
| 36416 |
|
49 |
20 |
$0.00 |
| 82962 |
|
604 |
131 |
$0.00 |
| 99350 |
Prolong home eval add 15m |
20 |
13 |
$0.00 |
| 97010 |
|
121 |
49 |
$0.00 |
| S5101 |
Adult day care per half day |
136 |
136 |
$0.00 |
| S5165 |
Home modifications per serv |
43 |
38 |
$0.00 |
| 90471 |
|
53 |
52 |
$0.00 |
| 94760 |
|
52 |
26 |
$0.00 |
| 86580 |
|
24 |
24 |
$0.00 |