| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9123 |
Nursing care in home rn |
143,250 |
46,369 |
$10.47M |
| S9124 |
Nursing care, in the home; b |
107,704 |
30,648 |
$6.89M |
| T1004 |
Nsg aide service up to 15min |
74,505 |
5,476 |
$965K |
| T1002 |
Rn services up to 15 minutes |
18,341 |
13,506 |
$700K |
| T1001 |
Nursing assessment/evaluatn |
1,287 |
1,163 |
$113K |
| T1003 |
Lpn/lvn services up to 15min |
1,699 |
979 |
$51K |
| G0162 |
Hhc rn e&m plan svs, 15 min |
236 |
211 |
$17K |
| 90686 |
|
12 |
12 |
$7.64 |
| 91301 |
|
83 |
76 |
$0.00 |
| G0008 |
Admin influenza virus vac |
27 |
26 |
$0.00 |
| G0155 |
Hhcp-svs of csw,ea 15 min |
51 |
29 |
$0.00 |
| 90674 |
|
28 |
28 |
$0.00 |
| 0011A |
|
48 |
35 |
$0.00 |
| A6260 |
Wound cleanser any type/size |
48 |
27 |
$0.00 |
| 0012A |
|
36 |
33 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
182 |
114 |
$0.00 |
| A4452 |
Waterproof tape |
30 |
14 |
$0.00 |