| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
9,089 |
969 |
$624K |
| 90832 |
|
2,331 |
1,246 |
$113K |
| S5130 |
Homemaker service, nos; per 15 minutes |
706 |
192 |
$98K |
| 90837 |
|
76 |
45 |
$6K |
| 99214 |
|
57 |
38 |
$4K |
| 99212 |
|
300 |
288 |
$4K |
| S0215 |
Non-emergency transportation; mileage, per mile |
92 |
91 |
$2K |
| 99202 |
|
20 |
20 |
$73.09 |
| S9451 |
Exercise classes, non-physician provider, per session |
6,723 |
1,202 |
$0.00 |
| 96151 |
|
280 |
216 |
$0.00 |
| S5136 |
Companion care, adult (e.g., iadl/adl); per diem |
6,234 |
1,099 |
$0.00 |
| 99368 |
|
509 |
391 |
$0.00 |
| 97014 |
|
335 |
103 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
201 |
123 |
$0.00 |
| S5100 |
Day care services, adult; per 15 minutes |
6,138 |
1,084 |
$0.00 |
| S5135 |
Companion care, adult (e.g., iadl/adl); per 15 minutes |
6,619 |
1,179 |
$0.00 |
| 97140 |
|
848 |
283 |
$0.00 |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
160 |
140 |
$0.00 |
| 97003 |
|
320 |
211 |
$0.00 |
| 97535 |
|
169 |
67 |
$0.00 |
| 87426 |
|
115 |
71 |
$0.00 |
| Z0600 |
|
5,768 |
1,186 |
$0.00 |
| 96155 |
|
291 |
163 |
$0.00 |
| 97035 |
|
314 |
106 |
$0.00 |
| 97112 |
|
339 |
161 |
$0.00 |
| 98967 |
|
64 |
29 |
$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) |
83 |
26 |
$0.00 |
| T1004 |
Services of a qualified nursing aide, up to 15 minutes |
83 |
26 |
$0.00 |
| Z0040 |
|
2,913 |
654 |
$0.00 |
| Z0030 |
|
5,820 |
1,146 |
$0.00 |
| Z0055 |
|
5,126 |
1,120 |
$0.00 |
| 97001 |
|
449 |
327 |
$0.00 |
| 97803 |
|
287 |
220 |
$0.00 |
| 97110 |
|
2,478 |
481 |
$0.00 |
| 97530 |
|
2,402 |
514 |
$0.00 |
| 96152 |
|
881 |
544 |
$0.00 |
| G0329 |
Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care |
405 |
193 |
$0.00 |
| Z0580 |
|
5,844 |
1,193 |
$0.00 |
| 97116 |
|
1,062 |
304 |
$0.00 |
| S5170 |
Home delivered meals, including preparation; per meal |
449 |
96 |
$0.00 |
| H2032 |
Activity therapy, per 15 minutes |
7,455 |
1,335 |
$0.00 |
| D5951 |
|
83 |
26 |
$0.00 |
| 98966 |
|
94 |
37 |
$0.00 |