| S9124 | Nursing care, in the home; by licensed practical nurse, per hour | 8 | 20 | 21,310 | $210 | $6.4M |
| G0299 | Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes | 5 | 90 | 1,820 | $60 | $261.2K |
| G0300 | Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes | 12 | 70 | 1,480 | $70 | $240.8K |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | 4 | 40 | 850 | $70 | $126.1K |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | 6 | 20 | 310 | $60 | $75.9K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 22 | 30 | 210 | $10 | $22.4K |
| 97161 | The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's… | 71 | 80 | 150 | $50 | $21.5K |
| 97162 | The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's… | 9 | 50 | 70 | $40 | $14.5K |
| 97166 | The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment… | 7 | 20 | 70 | $40 | $6.6K |
| Q5001 | Hospice or home health care provided in patient's home/residence | 3 | 40 | 450 | $1 | $1.1K |