| Code | Description | Claims | Beneficiaries | Total Paid |
| S9131 |
Physical therapy; in the home, per diem |
3,839 |
958 |
$354K |
| S9123 |
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
4,313 |
1,138 |
$337K |
| T2046 |
Hospice long term care, room and board only; per diem |
704 |
25 |
$199K |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
987 |
263 |
$122K |
| X0043 |
|
67 |
12 |
$66K |
| 99502 |
|
120 |
93 |
$12K |
| S9129 |
Occupational therapy, in the home, per diem |
78 |
25 |
$7K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
202 |
198 |
$7K |
| T1001 |
Nursing assessment / evaluation |
12 |
12 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$73.44 |