| Code | Description | Claims | Beneficiaries | Total Paid |
| G0299 |
Hhs/hospice of rn ea 15 min |
24,106 |
5,979 |
$1.88M |
| G0151 |
Hhcp-serv of pt,ea 15 min |
8,584 |
2,427 |
$680K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
7,472 |
2,484 |
$576K |
| G0152 |
Hhcp-serv of ot,ea 15 min |
2,879 |
996 |
$190K |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
24 |
13 |
$324.49 |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
133 |
84 |
$170.26 |
| A6402 |
Sterile gauze <= 16 sq in |
302 |
194 |
$29.15 |
| A6446 |
Conform band s w>=3" <5"/yd |
68 |
40 |
$18.55 |
| A4452 |
Waterproof tape |
65 |
52 |
$6.60 |
| A4450 |
Non-waterproof tape |
35 |
29 |
$1.08 |
| Q5001 |
Hospice or home hlth in home |
41 |
38 |
$0.00 |
| G0155 |
Hhcp-svs of csw,ea 15 min |
18 |
14 |
$0.00 |