| Code | Description | Claims | Beneficiaries | Total Paid |
| Q5001 |
Hospice or home hlth in home |
1,973 |
1,151 |
$40K |
| A0428 |
Bls |
154 |
146 |
$14K |
| A0425 |
Ground mileage |
364 |
213 |
$12K |
| G0299 |
Hhs/hospice of rn ea 15 min |
16,048 |
3,775 |
$8K |
| Q5005 |
Hospice, inpatient hospital |
963 |
850 |
$4K |
| Q5004 |
Hospice in snf |
383 |
367 |
$1K |
| G0155 |
Hhcp-svs of csw,ea 15 min |
1,089 |
760 |
$854.94 |
| G0300 |
Hhs/hospice of lpn ea 15 min |
1,164 |
460 |
$364.26 |
| G0156 |
Hhcp-svs of aide,ea 15 min |
3,894 |
649 |
$0.00 |
| G0151 |
Hhcp-serv of pt,ea 15 min |
32 |
12 |
$0.00 |
| G0152 |
Hhcp-serv of ot,ea 15 min |
120 |
53 |
$0.00 |