| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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) |
204,360 |
12,916 |
$28.44M |
| S5125 |
Attendant care services; per 15 minutes |
5,532 |
304 |
$755K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
15,089 |
15,003 |
$440K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,948 |
1,893 |
$241K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,678 |
1,606 |
$216K |
| E1399 |
Durable medical equipment, miscellaneous |
1,067 |
445 |
$128K |
| A4554 |
Disposable underpads, all sizes |
2,710 |
2,664 |
$124K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,340 |
2,301 |
$111K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,206 |
1,161 |
$104K |
| G0162 |
Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) |
714 |
691 |
$95K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,825 |
587 |
$84K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,014 |
370 |
$65K |
| S0209 |
Wheelchair van, mileage, per mile |
1,013 |
369 |
$32K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
600 |
600 |
$24K |
| A0100 |
Non-emergency transportation; taxi |
1,827 |
589 |
$21K |
| A4927 |
Gloves, non-sterile, per 100 |
2,129 |
2,098 |
$15K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
229 |
229 |
$8K |
| S5160 |
Emergency response system; installation and testing |
122 |
118 |
$3K |
| E0570 |
Nebulizer, with compressor |
196 |
196 |
$3K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
14 |
12 |
$1K |