| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9129 |
Occupational therapy, in the |
9,357 |
2,788 |
$729K |
| S9128 |
Speech therapy, in the home, |
5,806 |
1,625 |
$432K |
| G0299 |
Hhs/hospice of rn ea 15 min |
3,180 |
948 |
$213K |
| G0156 |
Hhcp-svs of aide,ea 15 min |
5,819 |
542 |
$138K |
| T4541 |
Large disposable underpad |
1,972 |
1,816 |
$110K |
| T4526 |
Adult size pull-on med |
461 |
420 |
$61K |
| T4528 |
Adult size pull-on xl |
343 |
304 |
$47K |
| S9131 |
Pt in the home per diem |
415 |
114 |
$29K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
344 |
107 |
$20K |
| T4527 |
Adult size pull-on lg |
47 |
41 |
$5K |
| G0152 |
Hhcp-serv of ot,ea 15 min |
42 |
12 |
$3K |
| A6402 |
Sterile gauze <= 16 sq in |
73 |
25 |
$268.58 |
| A4247 |
Betadine/iodine swabs/wipes |
24 |
13 |
$243.96 |