| Code | Description | Claims | Beneficiaries | Total Paid |
| T1001 |
Nursing assessment/evaluatn |
68,128 |
52,509 |
$13.16M |
| S9123 |
Nursing care in home rn |
65,764 |
41,550 |
$7.87M |
| G9002 |
Mccd,maintenance rate |
8,556 |
8,554 |
$1.39M |
| T1030 |
Rn home care per diem |
8,694 |
3,069 |
$550K |
| S9131 |
Pt in the home per diem |
1,309 |
350 |
$88K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
849 |
234 |
$60K |
| G0299 |
Hhs/hospice of rn ea 15 min |
2,268 |
940 |
$49K |
| S9129 |
Occupational therapy, in the |
128 |
38 |
$7K |
| T1031 |
Lpn home care per diem |
35 |
12 |
$3K |
| S0250 |
Comp geriatr assmt team |
675 |
675 |
$6.61 |
| G9004 |
Mccd, risk adj lo, initial |
512 |
511 |
$4.99 |
| G9003 |
Mccd, risk adj hi, initial |
65 |
65 |
$0.65 |
| 90662 |
|
42 |
42 |
$0.00 |
| 90471 |
|
112 |
111 |
$0.00 |
| 90686 |
|
37 |
37 |
$0.00 |
| 90688 |
|
81 |
80 |
$0.00 |
| G0008 |
Admin influenza virus vac |
60 |
60 |
$0.00 |
| G0300 |
Hhs/hospice of lpn ea 15 min |
39 |
15 |
$0.00 |