| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2019 |
Therapeutic behavioral services, per 15 minutes |
2,423 |
2,382 |
$1.77M |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
5,355 |
1,447 |
$785K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,895 |
1,894 |
$557K |
| S9131 |
Physical therapy; in the home, per diem |
631 |
120 |
$66K |
| 99213 |
|
110 |
108 |
$7K |
| 87635 |
|
77 |
74 |
$4K |
| 90686 |
|
159 |
158 |
$2K |
| 90471 |
|
335 |
319 |
$2K |
| 90460 |
|
152 |
151 |
$1K |
| 90656 |
|
46 |
46 |
$327.06 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
193 |
192 |
$313.01 |
| 99212 |
|
12 |
12 |
$258.28 |
| 87800 |
|
181 |
179 |
$0.00 |
| 90734 |
|
49 |
49 |
$0.00 |
| 81025 |
|
41 |
40 |
$0.00 |