| Code | Description | Claims | Beneficiaries | Total Paid |
| G0151 |
Hhcp-serv of pt,ea 15 min |
7,852 |
2,689 |
$452K |
| G0299 |
Hhs/hospice of rn ea 15 min |
5,962 |
2,009 |
$365K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
3,646 |
1,114 |
$219K |
| G0154 |
Hhcp-svs of rn,ea 15 min |
2,413 |
523 |
$157K |
| G0152 |
Hhcp-serv of ot,ea 15 min |
1,985 |
829 |
$112K |
| G0162 |
Hhc rn e&m plan svs, 15 min |
2,537 |
2,079 |
$70K |
| G0155 |
Hhcp-svs of csw,ea 15 min |
125 |
124 |
$11K |
| G0153 |
Hhcp-svs of s/l path,ea 15mn |
37 |
12 |
$2K |
| A6216 |
Non-sterile gauze<=16 sq in |
347 |
275 |
$29.75 |
| 0421 |
|
87 |
32 |
$0.00 |
| A9270 |
Non-covered item or service |
18 |
12 |
$0.00 |
| 0551 |
|
5,292 |
1,222 |
$0.00 |
| 0623 |
|
121 |
27 |
$0.00 |