| Code | Description | Claims | Beneficiaries | Total Paid |
| S9129 |
Occupational therapy, in the home, per diem |
9,357 |
2,788 |
$729K |
| S9128 |
Speech therapy, in the home, per diem |
5,806 |
1,625 |
$432K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
3,180 |
948 |
$213K |
| G0156 |
Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
5,819 |
542 |
$138K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,972 |
1,816 |
$110K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
461 |
420 |
$61K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
343 |
304 |
$47K |
| S9131 |
Physical therapy; in the home, per diem |
415 |
114 |
$29K |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
344 |
107 |
$20K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
47 |
41 |
$5K |
| G0152 |
Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes |
42 |
12 |
$3K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
73 |
25 |
$268.58 |
| A4247 |
Betadine or iodine swabs/wipes, per box |
24 |
13 |
$243.96 |