| Code | Description | Claims | Beneficiaries | Total Paid |
| G0299 |
Hhs/hospice of rn ea 15 min |
11,598 |
2,977 |
$676K |
| 99341 |
|
3,463 |
745 |
$506K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
10,403 |
3,767 |
$470K |
| Q5001 |
Hospice or home hlth in home |
4,370 |
1,470 |
$280K |
| G0152 |
Hhcp-serv of ot,ea 15 min |
5,604 |
2,411 |
$271K |
| 99343 |
|
2,182 |
498 |
$216K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
1,526 |
740 |
$94K |
| 92507 |
|
269 |
107 |
$33K |
| G0155 |
Hhcp-svs of csw,ea 15 min |
264 |
203 |
$12K |
| A4216 |
Sterile water/saline, 10 ml |
204 |
177 |
$898.13 |
| A6216 |
Non-sterile gauze<=16 sq in |
117 |
100 |
$0.00 |
| A6212 |
Foam drg <=16 sq in w/border |
26 |
14 |
$0.00 |
| A9270 |
Non-covered item or service |
262 |
189 |
$0.00 |
| G0157 |
Hhc pt assistant ea 15 |
684 |
301 |
$0.00 |
| G0158 |
Hhc ot assistant ea 15 |
49 |
26 |
$0.00 |