| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9131 |
Physical therapy; in the home, per diem |
14,680 |
2,738 |
$975K |
| T1001 |
Nursing assessment / evaluation |
11,686 |
2,563 |
$809K |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
2,122 |
540 |
$143K |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
1,789 |
319 |
$128K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
1,746 |
419 |
$117K |
| 0011A |
|
700 |
363 |
$17K |
| 0012A |
|
586 |
350 |
$15K |
| S9129 |
Occupational therapy, in the home, per diem |
134 |
51 |
$9K |
| G0152 |
Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes |
57 |
26 |
$4K |
| 0013A |
|
103 |
101 |
$4K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
310 |
109 |
$129.86 |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
35 |
12 |
$3.64 |
| A5120 |
Skin barrier, wipes or swabs, each |
138 |
44 |
$0.00 |
| 91301 |
|
30 |
29 |
$0.00 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
20 |
12 |
$0.00 |
| A6260 |
Wound cleansers, any type, any size |
18 |
15 |
$0.00 |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
32 |
12 |
$0.00 |
| A6210 |
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
39 |
14 |
$0.00 |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
49 |
14 |
$0.00 |