| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0659 |
|
13,073 |
1,133 |
$3.91M |
| Q5001 |
Hospice or home hlth in home |
2,116 |
764 |
$3.20M |
| 0650 |
Inj, levothyroxine, hikma |
9,955 |
1,028 |
$3.03M |
| 0651 |
|
2,550 |
613 |
$2.50M |
| A0429 |
Bls-emergency |
443 |
51 |
$192K |
| T2042 |
Hospice routine home care |
303 |
159 |
$137K |
| 0658 |
|
2,605 |
450 |
$99K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
402 |
54 |
$31K |
| 99348 |
|
347 |
319 |
$16K |
| G0299 |
Hhs/hospice of rn ea 15 min |
288 |
70 |
$10K |
| 99199 |
|
14 |
12 |
$8K |
| G0156 |
Hhcp-svs of aide,ea 15 min |
184 |
29 |
$7K |
| G0155 |
Hhcp-svs of csw,ea 15 min |
79 |
50 |
$6K |
| 99345 |
Prolong home eval add 15m |
14 |
12 |
$722.81 |
| E1353 |
Oxygen supplies regulator |
52 |
43 |
$591.51 |
| E0431 |
Portable gaseous 02 |
54 |
43 |
$584.09 |
| E1390 |
Oxygen concentrator |
48 |
38 |
$556.36 |
| E0570 |
Nebulizer with compression |
49 |
39 |
$482.59 |
| 0657 |
|
15 |
12 |
$387.70 |