| 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 |
22,747 |
4,502 |
$1.67M |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
2,907 |
925 |
$210K |
| G0162 |
Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) |
1,028 |
836 |
$68K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,256 |
1,470 |
$66K |
| G0493 |
Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) |
705 |
290 |
$39K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
676 |
290 |
$31K |
| G0152 |
Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes |
359 |
249 |
$25K |
| A6260 |
Wound cleansers, any type, any size |
1,445 |
864 |
$24K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
3,186 |
1,636 |
$14K |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
136 |
84 |
$9K |
| G0495 |
Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes |
174 |
92 |
$7K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
1,850 |
918 |
$7K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
1,258 |
498 |
$6K |
| A6197 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
77 |
27 |
$3K |
| G0156 |
Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
96 |
12 |
$2K |
| A4217 |
Sterile water/saline, 500 ml |
211 |
122 |
$2K |
| A5120 |
Skin barrier, wipes or swabs, each |
65 |
38 |
$1K |
| A4452 |
Tape, waterproof, per 18 square inches |
295 |
179 |
$618.79 |
| A9270 |
Non-covered item or service |
178 |
138 |
$554.63 |
| A9286 |
Hygienic item or device, disposable or non-disposable, any type, each |
91 |
52 |
$337.28 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
221 |
152 |
$318.17 |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
17 |
12 |
$273.35 |
| A6454 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard |
38 |
13 |
$210.88 |
| A4927 |
Gloves, non-sterile, per 100 |
50 |
37 |
$65.31 |
| A4649 |
Surgical supply; miscellaneous |
41 |
12 |
$23.46 |
| Q5001 |
Hospice or home health care provided in patient's home/residence |
45 |
41 |
$0.00 |