| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0299 |
Hhs/hospice of rn ea 15 min |
9,556 |
2,912 |
$596K |
| T4541 |
Large disposable underpad |
2,102 |
1,849 |
$417K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
6,268 |
1,836 |
$415K |
| T1016 |
Case management |
4,444 |
4,254 |
$407K |
| T4528 |
Adult size pull-on xl |
565 |
481 |
$215K |
| T4535 |
Disposable liner/shield/pad |
1,343 |
1,101 |
$166K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
2,637 |
1,023 |
$156K |
| G0152 |
Hhcp-serv of ot,ea 15 min |
1,504 |
622 |
$88K |
| T4522 |
Adult size brief/diaper med |
66 |
51 |
$21K |
| T4527 |
Adult size pull-on lg |
79 |
53 |
$18K |
| T4523 |
Adult size brief/diaper lg |
33 |
26 |
$9K |
| T4526 |
Adult size pull-on med |
12 |
12 |
$4K |
| A6216 |
Non-sterile gauze<=16 sq in |
19 |
15 |
$0.55 |
| Q5001 |
Hospice or home hlth in home |
707 |
673 |
$0.00 |