| Code | Description | Claims | Beneficiaries | Total Paid |
| G0299 |
Hhs/hospice of rn ea 15 min |
54,224 |
13,053 |
$13.30M |
| G0151 |
Hhcp-serv of pt,ea 15 min |
24,209 |
7,773 |
$5.36M |
| G0152 |
Hhcp-serv of ot,ea 15 min |
8,231 |
3,649 |
$1.88M |
| G0155 |
Hhcp-svs of csw,ea 15 min |
6,274 |
4,023 |
$1.55M |
| G0300 |
Hhs/hospice of lpn ea 15 min |
8,914 |
2,141 |
$1.09M |
| G0153 |
Hhcp-svs of s/l path,ea 15mn |
1,868 |
757 |
$430K |
| Q5001 |
Hospice or home hlth in home |
416 |
221 |
$39K |
| G0156 |
Hhcp-svs of aide,ea 15 min |
120 |
39 |
$11K |
| A4649 |
Surgical supplies |
704 |
554 |
$7K |
| A6402 |
Sterile gauze <= 16 sq in |
626 |
522 |
$5K |
| E1390 |
Oxygen concentrator |
24 |
24 |
$4K |
| A6446 |
Conform band s w>=3" <5"/yd |
178 |
129 |
$1K |
| G0154 |
Hhcp-svs of rn,ea 15 min |
17 |
12 |
$944.64 |
| A6212 |
Foam drg <=16 sq in w/border |
44 |
25 |
$896.86 |
| E0431 |
Portable gaseous 02 |
25 |
25 |
$607.59 |
| A6216 |
Non-sterile gauze<=16 sq in |
13 |
12 |
$59.84 |