| Code | Description | Claims | Beneficiaries | Total Paid |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
20,626 |
5,491 |
$1.85M |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
8,398 |
2,281 |
$614K |
| T1016 |
Case management, each 15 minutes |
951 |
910 |
$307K |
| G0152 |
Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes |
3,444 |
1,294 |
$235K |
| 99502 |
|
28 |
26 |
$1K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
24 |
13 |
$229.01 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
24 |
14 |
$179.04 |
| A4649 |
Surgical supply; miscellaneous |
39 |
12 |
$31.55 |