| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9128 |
Speech therapy, in the home, |
7,193 |
1,164 |
$548K |
| S9129 |
Occupational therapy, in the |
5,963 |
1,188 |
$462K |
| T4528 |
Adult size pull-on xl |
999 |
898 |
$255K |
| T4541 |
Large disposable underpad |
3,161 |
2,924 |
$249K |
| T4535 |
Disposable liner/shield/pad |
1,838 |
1,658 |
$231K |
| T4527 |
Adult size pull-on lg |
1,097 |
975 |
$226K |
| G0299 |
Hhs/hospice of rn ea 15 min |
2,100 |
355 |
$200K |
| T4526 |
Adult size pull-on med |
711 |
644 |
$136K |
| T4532 |
Ped size pull-on lg |
153 |
150 |
$33K |
| T4522 |
Adult size brief/diaper med |
63 |
63 |
$15K |
| S9131 |
Pt in the home per diem |
188 |
39 |
$12K |
| T4523 |
Adult size brief/diaper lg |
12 |
12 |
$3K |
| T4534 |
Youth size pull-on |
13 |
12 |
$2K |
| G0493 |
Rn care ea 15 min hh/hospice |
18 |
14 |
$1K |
| G0153 |
Hhcp-svs of s/l path,ea 15mn |
25 |
14 |
$625.65 |