| A6212 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | 5 | 10 | 690 | $160 | $465.6K |
| Q5001 | Hospice or home health care provided in patient's home/residence | 9 | 70 | 870 | $160 | $452.5K |
| 92507 | The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with… | 236 | 280 | 1,920 | $40 | $262.1K |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | 7 | 60 | 2,650 | $40 | $188.7K |
| G0299 | Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes | 8 | 80 | 1,640 | $40 | $136.1K |
| G0300 | Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes | 17 | 40 | 1,070 | $70 | $135K |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | 6 | 50 | 650 | $40 | $87K |
| 99341 | The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at least 15… | 2 | 10 | 300 | $60 | $77.5K |
| 99343 | N/A | 1 | 10 | 50 | $170 | $72K |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | 9 | 20 | 200 | $10 | $6.9K |