| Code | Description | Claims | Beneficiaries | Total Paid |
| S9129 |
Occupational therapy, in the |
15,208 |
3,870 |
$1.15M |
| S9128 |
Speech therapy, in the home, |
13,288 |
3,748 |
$1.04M |
| S9131 |
Pt in the home per diem |
6,828 |
1,575 |
$516K |
| G0299 |
Hhs/hospice of rn ea 15 min |
5,037 |
1,603 |
$407K |
| T4541 |
Large disposable underpad |
4,478 |
4,108 |
$329K |
| T4528 |
Adult size pull-on xl |
1,577 |
1,391 |
$324K |
| T4527 |
Adult size pull-on lg |
1,033 |
925 |
$195K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
2,419 |
575 |
$179K |
| T4535 |
Disposable liner/shield/pad |
1,279 |
1,139 |
$164K |
| T4526 |
Adult size pull-on med |
894 |
809 |
$161K |
| G0152 |
Hhcp-serv of ot,ea 15 min |
968 |
305 |
$74K |
| T4532 |
Ped size pull-on lg |
237 |
219 |
$45K |
| T4522 |
Adult size brief/diaper med |
202 |
169 |
$30K |
| T4534 |
Youth size pull-on |
39 |
36 |
$7K |
| T4523 |
Adult size brief/diaper lg |
13 |
12 |
$5K |
| 92523 |
|
12 |
12 |
$595.35 |