| Code | Description | Claims | Beneficiaries | Total Paid |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
3,209 |
590 |
$606K |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
958 |
324 |
$176K |
| G0155 |
Services of clinical social worker in home health or hospice settings, each 15 minutes |
81 |
69 |
$23K |
| G0152 |
Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes |
49 |
25 |
$10K |
| A4927 |
Gloves, non-sterile, per 100 |
188 |
150 |
$520.17 |
| A6213 |
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
23 |
13 |
$239.58 |
| A6210 |
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
18 |
12 |
$160.12 |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
26 |
12 |
$117.06 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
128 |
93 |
$70.22 |
| A5120 |
Skin barrier, wipes or swabs, each |
33 |
24 |
$51.83 |
| Q5001 |
Hospice or home health care provided in patient's home/residence |
356 |
339 |
$0.00 |