| 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 |
15,667 |
3,297 |
$1.16M |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
25,214 |
1,009 |
$793K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
4,735 |
2,846 |
$325K |
| A4927 |
Gloves, non-sterile, per 100 |
5,840 |
1,538 |
$73K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
804 |
173 |
$39K |
| 97116 |
|
387 |
120 |
$16K |
| 97163 |
|
136 |
130 |
$11K |
| 97750 |
|
212 |
150 |
$11K |
| A4245 |
Alcohol wipes, per box |
563 |
305 |
$1K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
866 |
293 |
$945.67 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
134 |
78 |
$633.85 |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
358 |
98 |
$188.35 |
| A4217 |
Sterile water/saline, 500 ml |
84 |
62 |
$180.64 |
| A6251 |
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
47 |
13 |
$99.72 |
| A4258 |
Spring-powered device for lancet, each |
322 |
209 |
$70.36 |
| L1270 |
Addition to tlso, (low profile), abdominal pad |
112 |
43 |
$47.56 |
| A4452 |
Tape, waterproof, per 18 square inches |
12 |
12 |
$2.74 |
| Q5001 |
Hospice or home health care provided in patient's home/residence |
902 |
871 |
$0.00 |
| A9270 |
Non-covered item or service |
1,059 |
447 |
$0.00 |
| G0496 |
Skilled services of a licensed practical nurse (lpn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes |
210 |
123 |
$0.00 |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
17 |
12 |
$0.00 |
| 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 |
32 |
26 |
$0.00 |