| Code | Description | Claims | Beneficiaries | Total Paid |
| 99509 |
|
701,472 |
135,563 |
$248.30M |
| T1019 |
Personal care ser per 15 min |
2,935,498 |
142,422 |
$234.96M |
| G9006 |
Mccd, home monitoring |
146,222 |
135,694 |
$27.10M |
| S5110 |
Family homecare training 15m |
14,384 |
10,761 |
$3.09M |
| G0299 |
Hhs/hospice of rn ea 15 min |
26,024 |
6,255 |
$2.12M |
| G0151 |
Hhcp-serv of pt,ea 15 min |
17,580 |
4,659 |
$1.38M |
| G0152 |
Hhcp-serv of ot,ea 15 min |
5,316 |
1,751 |
$458K |
| S5125 |
Attendant care service /15m |
3,662 |
288 |
$307K |
| G0153 |
Hhcp-svs of s/l path,ea 15mn |
2,201 |
816 |
$178K |
| T2038 |
Comm trans waiver/service |
72 |
66 |
$98K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
871 |
274 |
$63K |
| G0155 |
Hhcp-svs of csw,ea 15 min |
234 |
155 |
$27K |
| G0156 |
Hhcp-svs of aide,ea 15 min |
215 |
62 |
$9K |
| A6212 |
Foam drg <=16 sq in w/border |
66 |
55 |
$6K |
| A6402 |
Sterile gauze <= 16 sq in |
378 |
364 |
$3K |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
88 |
81 |
$2K |
| A6446 |
Conform band s w>=3" <5"/yd |
91 |
79 |
$2K |
| A9270 |
Non-covered item or service |
114 |
110 |
$1K |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
103 |
100 |
$875.81 |
| A6216 |
Non-sterile gauze<=16 sq in |
191 |
180 |
$791.38 |
| A6260 |
Wound cleanser any type/size |
100 |
95 |
$715.42 |