| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
1,201,461 |
51,528 |
$42.71M |
| S5130 |
Homemaker service, nos; per 15 minutes |
863,434 |
52,160 |
$25.31M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
259,189 |
13,219 |
$12.32M |
| S5135 |
Companion care, adult (e.g., iadl/adl); per 15 minutes |
251,043 |
14,690 |
$7.67M |
| T1004 |
Services of a qualified nursing aide, up to 15 minutes |
87,711 |
4,167 |
$3.74M |
| S9122 |
Home health aide or certified nurse assistant, providing care in the home; per hour |
27,985 |
1,244 |
$700K |
| A5120 |
Skin barrier, wipes or swabs, each |
18,431 |
12,112 |
$336K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
6,964 |
4,865 |
$214K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
5,936 |
4,303 |
$190K |
| A4554 |
Disposable underpads, all sizes |
11,412 |
7,187 |
$152K |
| T1005 |
Respite care services, up to 15 minutes |
4,356 |
346 |
$90K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,406 |
2,598 |
$80K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,607 |
1,721 |
$80K |
| A4927 |
Gloves, non-sterile, per 100 |
5,355 |
3,620 |
$61K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,013 |
826 |
$36K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
750 |
574 |
$24K |
| S5199 |
Personal care item, nos, each |
3,187 |
1,875 |
$11K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
121 |
79 |
$8K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
441 |
206 |
$8K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
435 |
296 |
$7K |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
309 |
133 |
$7K |
| B4154 |
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
159 |
84 |
$7K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
119 |
90 |
$4K |
| T4541 |
Incontinence product, disposable underpad, large, each |
42 |
42 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
23 |
13 |
$400.00 |
| Q5001 |
Hospice or home health care provided in patient's home/residence |
40 |
24 |
$0.00 |