| Code | Description | Claims | Beneficiaries | Total Paid |
| S5165 |
Home modifications; per service |
5,400 |
3,236 |
$1.88M |
| 99600 |
Unlisted home visit service or procedure |
2,058 |
1,011 |
$924K |
| E0241 |
Bath tub wall rail, each |
943 |
935 |
$333K |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
1,749 |
1,533 |
$96K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
684 |
679 |
$91K |
| S5131 |
Homemaker service, nos; per diem |
238 |
191 |
$54K |
| E0244 |
Raised toilet seat |
299 |
294 |
$36K |
| E0245 |
Tub stool or bench |
92 |
92 |
$13K |
| S5121 |
Chore services; per diem |
45 |
26 |
$12K |
| E1399 |
Durable medical equipment, miscellaneous |
31 |
15 |
$11K |
| E0246 |
Transfer tub rail attachment |
32 |
32 |
$8K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
25 |
25 |
$7K |
| E0243 |
Toilet rail, each |
33 |
32 |
$5K |
| E0373 |
Nonpowered advanced pressure reducing mattress |
124 |
28 |
$2K |