| Code | Description | Claims | Beneficiaries | Total Paid |
| T1021 |
Hh aide or cn aide per visit |
141,318 |
11,780 |
$6.87M |
| G0299 |
Hhs/hospice of rn ea 15 min |
30,028 |
5,604 |
$2.39M |
| S9131 |
Pt in the home per diem |
13,487 |
3,971 |
$1.22M |
| T1002 |
Rn services up to 15 minutes |
10,960 |
3,095 |
$1.10M |
| T1001 |
Nursing assessment/evaluatn |
9,645 |
8,803 |
$901K |
| T1030 |
Rn home care per diem |
9,445 |
2,491 |
$799K |
| S9122 |
Home health aide or certifie |
3,574 |
157 |
$66K |
| 90686 |
|
2,572 |
2,541 |
$41K |
| 90688 |
|
2,684 |
2,652 |
$41K |
| 90651 |
|
443 |
426 |
$16K |
| 90471 |
|
7,464 |
7,354 |
$13K |
| 90632 |
|
45 |
45 |
$8K |
| S9123 |
Nursing care in home rn |
102 |
55 |
$7K |
| S9128 |
Speech therapy, in the home, |
67 |
26 |
$5K |
| 90674 |
|
586 |
583 |
$5K |
| 90661 |
|
409 |
409 |
$4K |
| 91322 |
|
32 |
32 |
$4K |
| S5130 |
Homaker service nos per 15m |
566 |
65 |
$3K |
| 90734 |
|
466 |
452 |
$3K |
| 90713 |
|
131 |
130 |
$2K |
| 90715 |
|
568 |
551 |
$1K |
| 90633 |
|
94 |
93 |
$1K |
| 90480 |
|
36 |
36 |
$922.30 |
| 90716 |
|
91 |
88 |
$575.04 |
| 90472 |
|
909 |
887 |
$465.81 |
| 91307 |
|
20 |
14 |
$228.06 |
| 91300 |
|
16 |
13 |
$76.00 |
| 91301 |
|
42 |
42 |
$45.36 |
| 0011A |
|
43 |
42 |
$0.00 |
| 91305 |
|
12 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
36 |
36 |
$0.00 |