| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0650 |
Inj, levothyroxine, hikma |
2,082 |
263 |
$1.15M |
| 0651 |
|
939 |
262 |
$858K |
| Q5001 |
Hospice or home health care provided in patient's home/residence |
581 |
210 |
$775K |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
2,580 |
239 |
$44K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
820 |
217 |
$18K |
| G0155 |
Services of clinical social worker in home health or hospice settings, each 15 minutes |
239 |
153 |
$8K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
428 |
262 |
$6K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
403 |
250 |
$5K |
| E0570 |
Nebulizer, with compressor |
191 |
129 |
$2K |
| A4615 |
Cannula, nasal |
188 |
122 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
173 |
106 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
62 |
25 |
$284.91 |
| E1353 |
Regulator |
12 |
12 |
$168.04 |