| Code | Description | Claims | Beneficiaries | Total Paid |
| S5130 |
Homemaker service, nos; per 15 minutes |
3,944 |
864 |
$115K |
| G0156 |
Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
948 |
135 |
$53K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
360 |
161 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
919 |
838 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
293 |
283 |
$4K |
| 90656 |
|
68 |
53 |
$0.10 |
| 90733 |
|
16 |
14 |
$0.04 |
| 90734 |
|
25 |
25 |
$0.00 |