| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9123 |
Nursing care in home rn |
6,865 |
1,396 |
$1.10M |
| G0299 |
Hhs/hospice of rn ea 15 min |
14,629 |
3,258 |
$826K |
| S9131 |
Pt in the home per diem |
5,188 |
1,779 |
$690K |
| E1390 |
Oxygen concentrator |
3,282 |
3,036 |
$170K |
| S9129 |
Occupational therapy, in the |
947 |
479 |
$131K |
| 97110 |
|
591 |
173 |
$44K |
| E0562 |
Humidifier heated used w pap |
1,162 |
1,014 |
$30K |
| E0601 |
Cont airway pressure device |
622 |
486 |
$21K |
| E0431 |
Portable gaseous 02 |
1,374 |
1,291 |
$17K |
| E1392 |
Portable oxygen concentrator |
371 |
358 |
$10K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
296 |
108 |
$8K |
| A4604 |
Tubing with heating element |
115 |
96 |
$5K |
| E0570 |
Nebulizer with compression |
426 |
399 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
66 |
66 |
$4K |
| S9124 |
Nursing care, in the home; b |
26 |
12 |
$3K |
| E0260 |
Hosp bed semi-electr w/ matt |
62 |
49 |
$2K |
| K0001 |
Standard wheelchair |
297 |
244 |
$2K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
3,530 |
960 |
$2K |
| A7035 |
Pos airway press headgear |
59 |
57 |
$2K |
| A7038 |
Pos airway pressure filter |
283 |
164 |
$1K |
| A7031 |
Replacement facemask interfa |
16 |
12 |
$539.02 |
| G0157 |
Hhc pt assistant ea 15 |
243 |
107 |
$0.00 |
| G0152 |
Hhcp-serv of ot,ea 15 min |
224 |
85 |
$0.00 |
| Q5001 |
Hospice or home hlth in home |
33 |
27 |
$0.00 |