| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9131 |
Pt in the home per diem |
4,046 |
1,227 |
$262K |
| T1030 |
Rn home care per diem |
3,425 |
1,159 |
$237K |
| T1031 |
Lpn home care per diem |
1,160 |
387 |
$70K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
16,638 |
5,325 |
$48K |
| G0299 |
Hhs/hospice of rn ea 15 min |
14,035 |
5,472 |
$44K |
| S9129 |
Occupational therapy, in the |
699 |
222 |
$44K |
| G0152 |
Hhcp-serv of ot,ea 15 min |
7,033 |
2,599 |
$19K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
6,517 |
2,657 |
$7K |
| S9127 |
Social work visit, in the ho |
58 |
50 |
$5K |
| G0155 |
Hhcp-svs of csw,ea 15 min |
1,291 |
1,067 |
$5K |
| Q5001 |
Hospice or home hlth in home |
3,957 |
3,633 |
$34.05 |
| A4649 |
Surgical supplies |
34 |
25 |
$23.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
19 |
17 |
$7.00 |
| HH623 |
|
202 |
192 |
$0.00 |
| Q5002 |
Hospice/home hlth in asst lv |
163 |
145 |
$0.00 |
| G0157 |
Hhc pt assistant ea 15 |
330 |
170 |
$0.00 |
| G0493 |
Rn care ea 15 min hh/hospice |
26 |
17 |
$0.00 |
| 00000 |
|
40 |
20 |
$0.00 |
| 1AA11 |
|
352 |
268 |
$0.00 |
| HH270 |
|
248 |
235 |
$0.00 |
| HH023 |
|
362 |
261 |
$0.00 |
| G0153 |
Hhcp-svs of s/l path,ea 15mn |
103 |
37 |
$0.00 |