| Code | Description | Claims | Beneficiaries | Total Paid |
| 0650 |
Inj, levothyroxine, hikma |
1,407 |
1,122 |
$5.04M |
| 0658 |
|
734 |
686 |
$3.40M |
| 0659 |
Rehabilitation services, other |
719 |
399 |
$2.02M |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
215 |
74 |
$8K |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
133 |
38 |
$6K |
| Q5001 |
Hospice or home health care provided in patient's home/residence |
13 |
12 |
$3K |
| 0250 |
|
323 |
45 |
$0.00 |