| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management, each 15 minutes |
131,412 |
40,715 |
$6.41M |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
46,314 |
22,129 |
$2.18M |
| S5130 |
Homemaker service, nos; per 15 minutes |
16,339 |
5,859 |
$1.50M |
| S9123 |
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
5,096 |
3,375 |
$680K |
| S5121 |
Chore services; per diem |
8,746 |
2,060 |
$671K |
| T2003 |
Non-emergency transportation; encounter/trip |
2,191 |
2,165 |
$85K |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
1,427 |
699 |
$57K |
| T1015 |
Clinic visit/encounter, all-inclusive |
379 |
357 |
$8K |
| T2038 |
Community transition, waiver; per service |
283 |
163 |
$4K |
| T2024 |
Service assessment/plan of care development, waiver |
320 |
172 |
$3K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
15 |
15 |
$1K |
| 83655 |
|
136 |
135 |
$341.16 |
| D1206 |
Topical application of fluoride varnish |
17 |
17 |
$0.00 |