| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0299 |
Hhs/hospice of rn ea 15 min |
22,747 |
4,502 |
$1.67M |
| G0151 |
Hhcp-serv of pt,ea 15 min |
2,907 |
925 |
$210K |
| G0162 |
Hhc rn e&m plan svs, 15 min |
1,028 |
836 |
$68K |
| T4541 |
Large disposable underpad |
2,256 |
1,470 |
$66K |
| G0493 |
Rn care ea 15 min hh/hospice |
705 |
290 |
$39K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
676 |
290 |
$31K |
| G0152 |
Hhcp-serv of ot,ea 15 min |
359 |
249 |
$25K |
| A6260 |
Wound cleanser any type/size |
1,445 |
864 |
$24K |
| A6402 |
Sterile gauze <= 16 sq in |
3,186 |
1,636 |
$14K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
136 |
84 |
$9K |
| G0495 |
Rn care train/edu in hh |
174 |
92 |
$7K |
| A9999 |
Dme supply or accessory, nos |
1,850 |
918 |
$7K |
| A6446 |
Conform band s w>=3" <5"/yd |
1,258 |
498 |
$6K |
| A6197 |
Alginate drsg >16 <=48 sq in |
77 |
27 |
$3K |
| G0156 |
Hhcp-svs of aide,ea 15 min |
96 |
12 |
$2K |
| A4217 |
Sterile water/saline, 500 ml |
211 |
122 |
$2K |
| A5120 |
Skin barrier, wipe or swab |
65 |
38 |
$1K |
| A4452 |
Waterproof tape |
295 |
179 |
$618.79 |
| A9270 |
Non-covered item or service |
178 |
138 |
$554.63 |
| A9286 |
Any hygienic item, device |
91 |
52 |
$337.28 |
| A4450 |
Non-waterproof tape |
221 |
152 |
$318.17 |
| A6250 |
Skin seal protect moisturizr |
17 |
12 |
$273.35 |
| A6454 |
Self-adher band w>=3" <5"/yd |
38 |
13 |
$210.88 |
| A4927 |
Non-sterile gloves |
50 |
37 |
$65.31 |
| A4649 |
Surgical supplies |
41 |
12 |
$23.46 |
| Q5001 |
Hospice or home hlth in home |
45 |
41 |
$0.00 |