| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5108 |
Homecare train pt 15 min |
85,578 |
6,709 |
$8.95M |
| T4541 |
Large disposable underpad |
36,014 |
31,513 |
$3.02M |
| T4528 |
Adult size pull-on xl |
10,367 |
9,548 |
$2.16M |
| T4527 |
Adult size pull-on lg |
12,844 |
11,922 |
$2.14M |
| T4526 |
Adult size pull-on med |
9,970 |
9,254 |
$1.60M |
| T4535 |
Disposable liner/shield/pad |
13,386 |
11,591 |
$1.40M |
| T1016 |
Case management |
10,726 |
10,497 |
$1.33M |
| T4532 |
Ped size pull-on lg |
3,780 |
3,532 |
$1.15M |
| T4522 |
Adult size brief/diaper med |
4,262 |
3,919 |
$651K |
| T4523 |
Adult size brief/diaper lg |
3,619 |
3,293 |
$581K |
| T4531 |
Ped size pull-on sm/med |
2,669 |
2,435 |
$555K |
| S9128 |
Speech therapy, in the home, |
5,881 |
1,568 |
$514K |
| T4530 |
Ped size brief/diaper lg |
2,495 |
2,309 |
$475K |
| T4525 |
Adult size pull-on sm |
3,224 |
2,963 |
$437K |
| T4543 |
Adult disp brief/diap abv xl |
1,699 |
1,595 |
$393K |
| T4524 |
Adult size brief/diaper xl |
2,706 |
2,504 |
$366K |
| T4521 |
Adult size brief/diaper sm |
2,345 |
2,176 |
$302K |
| S9129 |
Occupational therapy, in the |
2,787 |
751 |
$214K |
| T4534 |
Youth size pull-on |
917 |
861 |
$207K |
| B4100 |
Food thickener oral |
2,157 |
1,807 |
$190K |
| T1005 |
Respite care service 15 min |
1,995 |
516 |
$185K |
| S9131 |
Pt in the home per diem |
1,633 |
487 |
$126K |
| T4529 |
Ped size brief/diaper sm/med |
521 |
505 |
$25K |
| G0299 |
Hhs/hospice of rn ea 15 min |
664 |
250 |
$17K |
| A6250 |
Skin seal protect moisturizr |
1,785 |
1,525 |
$12K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
200 |
76 |
$9K |
| A9286 |
Any hygienic item, device |
271 |
237 |
$6K |
| A4927 |
Non-sterile gloves |
366 |
242 |
$4K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
91 |
37 |
$170.10 |
| A4369 |
Skin barrier liquid per oz |
13 |
13 |
$10.60 |
| A4520 |
Incontinence garment anytype |
49 |
49 |
$7.56 |
| A4456 |
Adhesive remover, wipes |
23 |
23 |
$3.64 |
| Q5001 |
Hospice or home hlth in home |
216 |
180 |
$0.00 |
| A4649 |
Surgical supplies |
113 |
112 |
$0.00 |