| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
4,499 |
887 |
$904K |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
157 |
41 |
$33K |
| A4344 |
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
204 |
133 |
$4K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
186 |
119 |
$2K |
| A4217 |
Sterile water/saline, 500 ml |
511 |
295 |
$2K |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
141 |
91 |
$2K |
| A4554 |
Disposable underpads, all sizes |
576 |
321 |
$1K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
330 |
190 |
$1K |
| A4320 |
Irrigation tray with bulb or piston syringe, any purpose |
183 |
117 |
$977.04 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
42 |
26 |
$304.16 |
| A4657 |
Syringe, with or without needle, each |
190 |
122 |
$128.81 |