| Code | Description | Claims | Beneficiaries | Total Paid |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
3,906 |
910 |
$421K |
| T1021 |
Home health aide or certified nurse assistant, per visit |
7,532 |
580 |
$367K |
| S9131 |
Physical therapy; in the home, per diem |
828 |
263 |
$76K |
| T1001 |
Nursing assessment / evaluation |
688 |
608 |
$62K |
| T1002 |
Rn services, up to 15 minutes |
480 |
155 |
$40K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
12,566 |
2,476 |
$6K |
| 90694 |
|
34 |
34 |
$852.12 |
| 90686 |
|
12 |
12 |
$204.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
50 |
$48.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
26 |
$0.00 |
| 0071A |
|
13 |
12 |
$0.00 |
| 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) |
135 |
64 |
$0.00 |
| Q5001 |
Hospice or home health care provided in patient's home/residence |
1,726 |
1,691 |
$0.00 |
| G0152 |
Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes |
1,590 |
617 |
$0.00 |
| G0156 |
Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
6,802 |
875 |
$0.00 |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
5,422 |
1,433 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
46 |
46 |
$0.00 |
| 91307 |
|
14 |
13 |
$0.00 |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
72 |
25 |
$0.00 |