| 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 |
4,455 |
4,030 |
$713K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
5,984 |
5,488 |
$164K |
| 97124 |
|
772 |
346 |
$77K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,504 |
1,352 |
$44K |
| 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 |
592 |
516 |
$30K |
| 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 |
494 |
455 |
$25K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
203 |
60 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
876 |
571 |
$7K |
| 80053 |
Comprehensive metabolic panel |
637 |
370 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
159 |
139 |
$5K |
| S5130 |
Homemaker service, nos; per 15 minutes |
5,563 |
1,274 |
$4K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
26 |
13 |
$4K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
49 |
21 |
$4K |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
140 |
56 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
84 |
53 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
118 |
87 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
170 |
145 |
$1K |
| 80061 |
Lipid panel |
79 |
52 |
$1K |
| 82607 |
|
28 |
24 |
$422.24 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
47 |
44 |
$330.14 |
| 99000 |
|
270 |
250 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
84 |
84 |
$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) |
813 |
792 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
541 |
458 |
$0.00 |
| S9977 |
Meals, per diem, not otherwise specified |
3,072 |
2,708 |
$0.00 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,775 |
327 |
$0.00 |
| G9473 |
Services performed by chaplain in the hospice setting, each 15 minutes |
874 |
572 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
708 |
390 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,542 |
1,325 |
$0.00 |
| S5102 |
Day care services, adult; per diem |
3,054 |
2,813 |
$0.00 |
| 96151 |
|
569 |
544 |
$0.00 |
| 97165 |
|
70 |
69 |
$0.00 |
| 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) |
47,473 |
2,325 |
$0.00 |
| 98967 |
|
778 |
617 |
$0.00 |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
2,265 |
1,488 |
$0.00 |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
1,776 |
1,364 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
815 |
696 |
$0.00 |
| S5185 |
Medication reminder service, non-face-to-face; per month |
3,365 |
3,183 |
$0.00 |
| 97010 |
|
89 |
50 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
6,034 |
3,296 |
$0.00 |
| S9097 |
Home visit for wound care |
1,166 |
355 |
$0.00 |
| 97535 |
Self-care/home management training, each 15 minutes |
707 |
501 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,021 |
538 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
29 |
29 |
$0.00 |
| T1002 |
Rn services, up to 15 minutes |
3,508 |
2,141 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
704 |
615 |
$0.00 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
13 |
12 |
$0.00 |
| S5101 |
Day care services, adult; per half day |
415 |
400 |
$0.00 |
| T1004 |
Services of a qualified nursing aide, up to 15 minutes |
4,589 |
207 |
$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) |
127 |
104 |
$0.00 |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
224 |
149 |
$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) |
405 |
325 |
$0.00 |
| 99441 |
|
16 |
13 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
58 |
52 |
$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) |
50 |
50 |
$0.00 |
| 96112 |
|
15 |
13 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
268 |
156 |
$0.00 |
| 95250 |
|
58 |
44 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
47 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
29 |
29 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,421 |
1,677 |
$0.00 |
| T1003 |
Lpn/lvn services, up to 15 minutes |
2,730 |
1,828 |
$0.00 |
| 99367 |
|
1,099 |
906 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
218 |
136 |
$0.00 |
| A0130 |
Non-emergency transportation: wheelchair van |
47,680 |
4,633 |
$0.00 |
| 97803 |
|
494 |
454 |
$0.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,405 |
783 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,810 |
3,122 |
$0.00 |
| S5170 |
Home delivered meals, including preparation; per meal |
674 |
657 |
$0.00 |
| T1001 |
Nursing assessment / evaluation |
2,079 |
1,527 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
226 |
224 |
$0.00 |
| 97164 |
|
399 |
387 |
$0.00 |
| 98966 |
|
6,551 |
3,234 |
$0.00 |
| 11719 |
|
116 |
114 |
$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) |
1,036 |
942 |
$0.00 |
| 97799 |
|
437 |
155 |
$0.00 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
385 |
373 |
$0.00 |
| G0175 |
Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present |
14,395 |
5,474 |
$0.00 |
| 97116 |
|
1,314 |
562 |
$0.00 |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
106 |
56 |
$0.00 |
| 98968 |
|
89 |
76 |
$0.00 |
| S9127 |
Social work visit, in the home, per diem |
145 |
126 |
$0.00 |
| G0495 |
Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes |
13 |
12 |
$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) |
64 |
59 |
$0.00 |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
12 |
12 |
$0.00 |
| 90658 |
|
122 |
122 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
52 |
44 |
$0.00 |
| 97161 |
|
13 |
12 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
19 |
13 |
$0.00 |
| D0350 |
|
15 |
15 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
13 |
12 |
$0.00 |