| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1021 |
Home health aide or certified nurse assistant, per visit |
13,167 |
2,916 |
$1.31M |
| S9131 |
Physical therapy; in the home, per diem |
4,591 |
1,099 |
$512K |
| A4452 |
Tape, waterproof, per 18 square inches |
993 |
410 |
$3K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
130 |
74 |
$1K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
122 |
52 |
$257.89 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
59 |
38 |
$156.44 |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
742 |
281 |
$0.00 |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
976 |
421 |
$0.00 |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
254 |
132 |
$0.00 |
| A9270 |
Non-covered item or service |
757 |
324 |
$0.00 |
| Q5001 |
Hospice or home health care provided in patient's home/residence |
830 |
744 |
$0.00 |
| G0152 |
Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes |
97 |
28 |
$0.00 |
| G0493 |
Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) |
119 |
71 |
$0.00 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,606 |
676 |
$0.00 |
| G0495 |
Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes |
42 |
25 |
$0.00 |