| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
697,146 |
26,470 |
$42.46M |
| T2022 |
Case management, per month |
32,450 |
32,425 |
$20.17M |
| 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) |
128,240 |
7,423 |
$8.76M |
| H2016 |
Comprehensive community support services, per diem |
101,947 |
3,590 |
$6.05M |
| T1000 |
Private duty / independent nursing service(s) - licensed, up to 15 minutes |
7,703 |
303 |
$2.81M |
| S5170 |
Home delivered meals, including preparation; per meal |
243,137 |
9,682 |
$2.19M |
| T2003 |
Non-emergency transportation; encounter/trip |
12,491 |
2,761 |
$703K |
| S0215 |
Non-emergency transportation; mileage, per mile |
30,924 |
5,839 |
$666K |
| S5100 |
Day care services, adult; per 15 minutes |
6,980 |
631 |
$587K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
13,230 |
13,215 |
$410K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
6,065 |
810 |
$351K |
| T2025 |
Waiver services; not otherwise specified (nos) |
1,614 |
1,607 |
$134K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
26,810 |
1,259 |
$129K |
| S5121 |
Chore services; per diem |
2,679 |
726 |
$125K |
| G0454 |
Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist |
1,145 |
462 |
$85K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
4,774 |
2,138 |
$70K |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
958 |
946 |
$53K |
| T1002 |
Rn services, up to 15 minutes |
1,375 |
140 |
$53K |
| E0245 |
Tub stool or bench |
13 |
13 |
$567.68 |