| Code | Description | Claims | Beneficiaries | Total Paid |
| 0650 |
Inj, levothyroxine, hikma |
9,876 |
680 |
$3.89M |
| 0659 |
|
5,113 |
213 |
$1.44M |
| 0658 |
|
1,038 |
258 |
$1.38M |
| Q5001 |
Hospice or home health care provided in patient's home/residence |
2,152 |
287 |
$942K |
| T2046 |
Hospice long term care, room and board only; per diem |
1,654 |
77 |
$494K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
2,671 |
662 |
$61K |
| 0552 |
|
57 |
25 |
$12K |
| G0155 |
Services of clinical social worker in home health or hospice settings, each 15 minutes |
532 |
375 |
$2K |
| G0156 |
Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
4,401 |
311 |
$2K |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
255 |
122 |
$0.00 |
| 0250 |
|
193 |
187 |
$0.00 |
| Q5003 |
Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf) |
24 |
24 |
$0.00 |