| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0299 |
Hhs/hospice of rn ea 15 min |
33,320 |
6,527 |
$3.27M |
| G0151 |
Hhcp-serv of pt,ea 15 min |
16,598 |
5,442 |
$1.43M |
| G0152 |
Hhcp-serv of ot,ea 15 min |
5,348 |
2,014 |
$476K |
| G0155 |
Hhcp-svs of csw,ea 15 min |
2,893 |
1,240 |
$450K |
| G0157 |
Hhc pt assistant ea 15 |
2,445 |
1,003 |
$132K |
| G0153 |
Hhcp-svs of s/l path,ea 15mn |
1,378 |
490 |
$112K |
| G0156 |
Hhcp-svs of aide,ea 15 min |
2,360 |
576 |
$91K |
| Q5001 |
Hospice or home hlth in home |
5,454 |
4,756 |
$90K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
73 |
46 |
$9K |
| A6212 |
Foam drg <=16 sq in w/border |
848 |
566 |
$4K |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
344 |
215 |
$3K |
| A4927 |
Non-sterile gloves |
908 |
675 |
$3K |
| A4649 |
Surgical supplies |
571 |
418 |
$3K |
| A6260 |
Wound cleanser any type/size |
326 |
245 |
$2K |
| A6210 |
Foam drg >16<=48 sq in w/o b |
143 |
99 |
$1K |
| A5120 |
Skin barrier, wipe or swab |
398 |
335 |
$695.42 |
| A6216 |
Non-sterile gauze<=16 sq in |
819 |
635 |
$593.15 |
| T4542 |
Small disposable underpad |
741 |
549 |
$375.51 |
| A6402 |
Sterile gauze <= 16 sq in |
431 |
335 |
$343.14 |
| A6446 |
Conform band s w>=3" <5"/yd |
198 |
148 |
$241.25 |
| A6250 |
Skin seal protect moisturizr |
79 |
68 |
$201.74 |
| A9270 |
Non-covered item or service |
214 |
167 |
$186.91 |
| A4216 |
Sterile water/saline, 10 ml |
85 |
69 |
$171.25 |
| A6240 |
Hydrocolld drg filler paste |
66 |
63 |
$104.98 |
| A6253 |
Absorpt drg > 48 sq in w/o b |
120 |
92 |
$63.70 |
| T4541 |
Large disposable underpad |
17 |
14 |
$55.07 |
| A6266 |
Impreg gauze no h20/sal/yard |
17 |
13 |
$49.03 |
| A4245 |
Alcohol wipes per box |
96 |
71 |
$23.97 |
| A6449 |
Lt compres band >=3" <5"/yd |
13 |
12 |
$17.72 |