| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0650 |
Inj, levothyroxine, hikma |
1,109 |
997 |
$4.71M |
| 0659 |
Rehabilitation services, other |
161 |
147 |
$890K |
| 0651 |
|
80 |
69 |
$213K |
| 0658 |
|
14 |
13 |
$81K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
474 |
143 |
$0.00 |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
74 |
24 |
$0.00 |
| G0156 |
Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
89 |
13 |
$0.00 |