| 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 |
4,962 |
1,669 |
$234K |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
4,226 |
1,092 |
$234K |
| T4541 |
Incontinence product, disposable underpad, large, each |
3,488 |
2,577 |
$164K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
230 |
178 |
$36K |
| G0156 |
Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
1,575 |
185 |
$23K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
77 |
63 |
$22K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
144 |
104 |
$18K |
| G0157 |
Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes |
434 |
100 |
$17K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
118 |
88 |
$11K |
| G0159 |
Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes |
14 |
12 |
$660.67 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
150 |
64 |
$571.27 |
| A4217 |
Sterile water/saline, 500 ml |
57 |
24 |
$290.33 |