| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5130 |
Homemaker service, nos; per 15 minutes |
319,741 |
16,371 |
$6.34M |
| T1004 |
Services of a qualified nursing aide, up to 15 minutes |
243,412 |
9,607 |
$6.27M |
| 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) |
164,042 |
6,704 |
$3.51M |
| S5135 |
Companion care, adult (e.g., iadl/adl); per 15 minutes |
86,521 |
5,085 |
$1.67M |
| A4554 |
Disposable underpads, all sizes |
11,754 |
11,387 |
$662K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
7,054 |
6,358 |
$428K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
4,836 |
4,625 |
$274K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,593 |
2,470 |
$230K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
6,192 |
5,765 |
$151K |
| A5120 |
Skin barrier, wipes or swabs, each |
10,226 |
10,181 |
$137K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
10,254 |
9,827 |
$88K |
| A4245 |
Alcohol wipes, per box |
4,808 |
4,711 |
$81K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
1,062 |
270 |
$41K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
558 |
468 |
$40K |
| T4542 |
Incontinence product, disposable underpad, small size, each |
1,028 |
935 |
$32K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
524 |
495 |
$31K |
| T1005 |
Respite care services, up to 15 minutes |
358 |
78 |
$16K |
| A4335 |
Incontinence supply; miscellaneous |
1,005 |
761 |
$11K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
97 |
77 |
$10K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
188 |
175 |
$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 |
329 |
281 |
$7K |
| A4927 |
Gloves, non-sterile, per 100 |
507 |
507 |
$6K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
117 |
116 |
$5K |
| T4541 |
Incontinence product, disposable underpad, large, each |
138 |
106 |
$5K |
| T5999 |
Supply, not otherwise specified |
52 |
50 |
$4K |