| Code | Description | Claims | Beneficiaries | Total Paid |
| S9128 |
Speech therapy, in the home, per diem |
7,193 |
1,164 |
$548K |
| S9129 |
Occupational therapy, in the home, per diem |
5,963 |
1,188 |
$462K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
999 |
898 |
$255K |
| T4541 |
Incontinence product, disposable underpad, large, each |
3,161 |
2,924 |
$249K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,838 |
1,658 |
$231K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,097 |
975 |
$226K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
2,100 |
355 |
$200K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
711 |
644 |
$136K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
153 |
150 |
$33K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
63 |
63 |
$15K |
| S9131 |
Physical therapy; in the home, per diem |
188 |
39 |
$12K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
12 |
12 |
$3K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
13 |
12 |
$2K |
| G0493 |
Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) |
18 |
14 |
$1K |
| G0153 |
Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes |
25 |
14 |
$625.65 |