| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1030 |
Rn home care per diem |
14,518 |
3,466 |
$2.19M |
| S9131 |
Pt in the home per diem |
2,044 |
644 |
$315K |
| S5125 |
Attendant care service /15m |
6,528 |
569 |
$233K |
| S9123 |
Nursing care in home rn |
1,660 |
480 |
$152K |
| S9122 |
Home health aide or certifie |
4,179 |
484 |
$116K |
| G0299 |
Hhs/hospice of rn ea 15 min |
1,974 |
518 |
$47K |
| S9127 |
Social work visit, in the ho |
255 |
186 |
$14K |
| S9129 |
Occupational therapy, in the |
89 |
37 |
$12K |
| 99213 |
|
241 |
230 |
$8K |
| 99214 |
|
522 |
508 |
$4K |
| T1031 |
Lpn home care per diem |
83 |
30 |
$1K |
| A6402 |
Sterile gauze <= 16 sq in |
32 |
29 |
$97.27 |
| A6446 |
Conform band s w>=3" <5"/yd |
12 |
12 |
$11.48 |
| G0162 |
Hhc rn e&m plan svs, 15 min |
81 |
19 |
$0.00 |