| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5108 |
Homecare train pt 15 min |
47,648 |
2,903 |
$4.44M |
| T1016 |
Case management |
17,542 |
16,145 |
$1.81M |
| G0299 |
Hhs/hospice of rn ea 15 min |
11,486 |
3,211 |
$822K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
6,936 |
1,801 |
$545K |
| T1005 |
Respite care service 15 min |
4,249 |
1,952 |
$344K |
| T4541 |
Large disposable underpad |
2,449 |
1,997 |
$198K |
| T4528 |
Adult size pull-on xl |
972 |
781 |
$158K |
| G0152 |
Hhcp-serv of ot,ea 15 min |
1,758 |
582 |
$134K |
| T4526 |
Adult size pull-on med |
755 |
590 |
$123K |
| T4535 |
Disposable liner/shield/pad |
979 |
784 |
$118K |
| T4527 |
Adult size pull-on lg |
455 |
419 |
$91K |
| T4522 |
Adult size brief/diaper med |
268 |
257 |
$55K |
| T4524 |
Adult size brief/diaper xl |
138 |
132 |
$35K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
749 |
247 |
$28K |
| G0155 |
Hhcp-svs of csw,ea 15 min |
201 |
149 |
$23K |
| T4523 |
Adult size brief/diaper lg |
12 |
12 |
$4K |
| A6402 |
Sterile gauze <= 16 sq in |
49 |
30 |
$222.01 |
| A6446 |
Conform band s w>=3" <5"/yd |
30 |
14 |
$156.49 |
| A6216 |
Non-sterile gauze<=16 sq in |
20 |
12 |
$60.05 |
| Q5001 |
Hospice or home hlth in home |
1,015 |
932 |
$0.00 |
| G0157 |
Hhc pt assistant ea 15 |
623 |
217 |
$0.00 |
| T1030 |
Rn home care per diem |
23 |
13 |
$0.00 |