| S9131 | Physical therapy; in the home, per diem |
| G8700 | Rehabilitation services (occupational, physical or speech) not indicated at or prior to discharge |
| G8699 | Rehabilitation services (occupational, physical or speech) ordered at or prior to discharge |
| T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
| G0404 | Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination |
| G0403 | Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report |
| G0405 | Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
