| Code | Description | Claims | Beneficiaries | Total Paid |
| S5130 |
Homaker service nos per 15m |
58,335 |
11,272 |
$1.92M |
| T1030 |
Rn home care per diem |
17,747 |
6,571 |
$1.46M |
| T1031 |
Lpn home care per diem |
11,033 |
4,345 |
$772K |
| T1001 |
Nursing assessment/evaluatn |
1,827 |
1,725 |
$608K |
| S9131 |
Pt in the home per diem |
2,709 |
897 |
$265K |
| T1021 |
Hh aide or cn aide per visit |
4,812 |
775 |
$231K |
| S9129 |
Occupational therapy, in the |
943 |
351 |
$98K |
| G0299 |
Hhs/hospice of rn ea 15 min |
1,972 |
596 |
$96K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
1,017 |
330 |
$62K |
| G0008 |
Admin influenza virus vac |
34 |
34 |
$658.27 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
34 |
34 |
$374.35 |
| 85610 |
|
23 |
14 |
$68.12 |
| Q5001 |
Hospice or home hlth in home |
15 |
14 |
$0.00 |
| G0151 |
Hhcp-serv of pt,ea 15 min |
102 |
40 |
$0.00 |