| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0659 |
Rehabilitation services, other |
13,073 |
1,133 |
$3.91M |
| Q5001 |
Hospice or home health care provided in patient's home/residence |
2,116 |
764 |
$3.20M |
| 0650 |
Inj, levothyroxine, hikma |
9,955 |
1,028 |
$3.03M |
| 0651 |
|
2,550 |
613 |
$2.50M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
443 |
51 |
$192K |
| T2042 |
Hospice routine home care; per diem |
303 |
159 |
$137K |
| 0658 |
|
2,605 |
450 |
$99K |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
402 |
54 |
$31K |
| 99348 |
|
347 |
319 |
$16K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
288 |
70 |
$10K |
| 99199 |
Unlisted special service, procedure or report |
14 |
12 |
$8K |
| G0156 |
Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
184 |
29 |
$7K |
| G0155 |
Services of clinical social worker in home health or hospice settings, each 15 minutes |
79 |
50 |
$6K |
| 99345 |
Prolong home eval add 15m |
14 |
12 |
$722.81 |
| E1353 |
Regulator |
52 |
43 |
$591.51 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
54 |
43 |
$584.09 |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
48 |
38 |
$556.36 |
| E0570 |
Nebulizer, with compressor |
49 |
39 |
$482.59 |
| 0657 |
|
15 |
12 |
$387.70 |