| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0659 |
|
37,104 |
1,688 |
$6.86M |
| 0650 |
Inj, levothyroxine, hikma |
19,296 |
1,202 |
$4.64M |
| 0658 |
|
148 |
144 |
$696K |
| 0651 |
|
2,900 |
145 |
$586K |
| T2046 |
Hospice long term care, r&b |
48 |
38 |
$248K |
| T2045 |
Hospice general care |
46 |
13 |
$57K |
| S0311 |
Comp mgmt care coord adv ill |
49 |
49 |
$32K |
| G0299 |
Hhs/hospice of rn ea 15 min |
2,350 |
759 |
$21K |
| 0250 |
|
2,783 |
424 |
$4K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
851 |
284 |
$2K |
| G0155 |
Hhcp-svs of csw,ea 15 min |
225 |
181 |
$1K |
| G0156 |
Hhcp-svs of aide,ea 15 min |
463 |
80 |
$0.00 |
| Q5001 |
Hospice or home hlth in home |
12 |
12 |
$0.00 |