| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,446 |
1,432 |
$208K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
2,135 |
2,095 |
$54K |
| 97124 |
|
466 |
201 |
$47K |
| S5130 |
Homemaker service, nos; per 15 minutes |
22,410 |
4,298 |
$21K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
392 |
390 |
$10K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
174 |
174 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
614 |
439 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
884 |
750 |
$4K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
151,100 |
3,729 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
165 |
160 |
$947.94 |
| 90837 |
Psychotherapy, 53 minutes with patient |
225 |
164 |
$560.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
27 |
26 |
$453.60 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
53 |
51 |
$397.62 |
| A0425 |
Ground mileage, per statute mile |
15 |
12 |
$228.16 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
81 |
73 |
$102.62 |
| 90832 |
Psychotherapy, 30 minutes with patient |
944 |
651 |
$82.00 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$52.80 |
| 97803 |
|
292 |
282 |
$42.43 |
| A0130 |
Non-emergency transportation: wheelchair van |
54,032 |
5,405 |
$32.00 |
| T1002 |
Rn services, up to 15 minutes |
4,570 |
2,707 |
$30.60 |
| S9470 |
Nutritional counseling, dietitian visit |
325 |
265 |
$0.00 |
| S5170 |
Home delivered meals, including preparation; per meal |
1,362 |
1,270 |
$0.00 |
| G0162 |
Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) |
1,531 |
1,224 |
$0.00 |
| 98968 |
|
931 |
660 |
$0.00 |
| T1003 |
Lpn/lvn services, up to 15 minutes |
1,443 |
935 |
$0.00 |
| 99367 |
|
3,718 |
2,505 |
$0.00 |
| 69210 |
|
60 |
54 |
$0.00 |
| 97116 |
|
595 |
236 |
$0.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,239 |
746 |
$0.00 |
| S9127 |
Social work visit, in the home, per diem |
425 |
322 |
$0.00 |
| G0175 |
Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present |
13,201 |
5,661 |
$0.00 |
| 98969 |
|
1,075 |
358 |
$0.00 |
| 99442 |
|
141 |
104 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,350 |
3,954 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,776 |
1,125 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
96 |
90 |
$0.00 |
| T1001 |
Nursing assessment / evaluation |
1,603 |
1,326 |
$0.00 |
| G0163 |
Skilled services of a licensed nurse (lpn or rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) |
698 |
393 |
$0.00 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
1,039 |
998 |
$0.00 |
| 99490 |
Ccm add 20min |
65 |
38 |
$0.00 |
| 97164 |
|
636 |
618 |
$0.00 |
| 96152 |
|
540 |
362 |
$0.00 |
| 98966 |
|
13,321 |
5,071 |
$0.00 |
| 90658 |
|
174 |
171 |
$0.00 |
| 97799 |
|
843 |
229 |
$0.00 |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
107 |
82 |
$0.00 |
| 97168 |
|
225 |
221 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
66 |
$0.00 |
| H2032 |
Activity therapy, per 15 minutes |
252 |
199 |
$0.00 |
| 97161 |
|
128 |
119 |
$0.00 |
| 81002 |
|
134 |
127 |
$0.00 |
| D4910 |
|
18 |
18 |
$0.00 |
| D0180 |
|
13 |
13 |
$0.00 |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
313 |
96 |
$0.00 |
| 99487 |
Ccm add 20min |
25 |
19 |
$0.00 |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
12 |
12 |
$0.00 |
| 11719 |
|
18 |
18 |
$0.00 |
| S0390 |
Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit |
12 |
12 |
$0.00 |
| 99000 |
|
392 |
347 |
$0.00 |
| 96151 |
|
1,124 |
1,091 |
$0.00 |
| G0494 |
Skilled services of a licensed practical nurse (lpn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) |
240 |
231 |
$0.00 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
801 |
398 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
931 |
783 |
$0.00 |
| T1503 |
Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit |
813 |
127 |
$0.00 |
| S5101 |
Day care services, adult; per half day |
3,735 |
3,648 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
841 |
417 |
$0.00 |
| S5185 |
Medication reminder service, non-face-to-face; per month |
6,389 |
6,056 |
$0.00 |
| 98967 |
|
2,851 |
1,849 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
132 |
127 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
207 |
113 |
$0.00 |
| G0164 |
Skilled services of a licensed nurse (lpn or rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes |
338 |
244 |
$0.00 |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
2,774 |
1,765 |
$0.00 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
3,794 |
525 |
$0.00 |
| T1004 |
Services of a qualified nursing aide, up to 15 minutes |
20,146 |
818 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
1,106 |
1,077 |
$0.00 |
| 99510 |
|
198 |
109 |
$0.00 |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
1,183 |
792 |
$0.00 |
| G0493 |
Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) |
1,955 |
1,327 |
$0.00 |
| S9977 |
Meals, per diem, not otherwise specified |
1,668 |
1,434 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
11,996 |
4,765 |
$0.00 |
| 97010 |
|
183 |
89 |
$0.00 |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
909 |
596 |
$0.00 |
| 97535 |
Self-care/home management training, each 15 minutes |
754 |
497 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
868 |
660 |
$0.00 |
| 97166 |
|
73 |
73 |
$0.00 |
| 97165 |
|
374 |
363 |
$0.00 |
| E1399 |
Durable medical equipment, miscellaneous |
14 |
12 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
28 |
28 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,160 |
1,777 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
262 |
253 |
$0.00 |
| S9097 |
Home visit for wound care |
1,297 |
376 |
$0.00 |
| 97139 |
|
145 |
121 |
$0.00 |
| 99441 |
|
103 |
87 |
$0.00 |
| D1330 |
|
65 |
62 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
166 |
100 |
$0.00 |
| G9473 |
Services performed by chaplain in the hospice setting, each 15 minutes |
40 |
38 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
37 |
37 |
$0.00 |
| 99443 |
|
18 |
17 |
$0.00 |
| S5102 |
Day care services, adult; per diem |
134 |
131 |
$0.00 |
| 99368 |
|
107 |
94 |
$0.00 |
| G0155 |
Services of clinical social worker in home health or hospice settings, each 15 minutes |
72 |
60 |
$0.00 |
| 99366 |
|
60 |
55 |
$0.00 |
| 97162 |
|
24 |
24 |
$0.00 |