| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9131 |
Physical therapy; in the home, per diem |
5,370 |
949 |
$266K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
1,685 |
179 |
$120K |
| S9097 |
Home visit for wound care |
592 |
84 |
$38K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
48 |
46 |
$22K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
71 |
69 |
$20K |
| S9129 |
Occupational therapy, in the home, per diem |
42 |
12 |
$3K |
| T1001 |
Nursing assessment / evaluation |
32 |
25 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$20.30 |
| 90688 |
|
12 |
12 |
$12.00 |