| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0299 |
Hhs/hospice of rn ea 15 min |
46,747 |
11,971 |
$3.38M |
| T4541 |
Large disposable underpad |
6,597 |
5,340 |
$2.29M |
| S5108 |
Homecare train pt 15 min |
21,195 |
1,636 |
$1.97M |
| T4527 |
Adult size pull-on lg |
2,292 |
1,944 |
$1.56M |
| G0156 |
Hhcp-svs of aide,ea 15 min |
46,086 |
3,598 |
$1.33M |
| T4528 |
Adult size pull-on xl |
1,825 |
1,481 |
$1.31M |
| T4535 |
Disposable liner/shield/pad |
1,845 |
1,417 |
$924K |
| T4526 |
Adult size pull-on med |
1,344 |
1,123 |
$861K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
12,169 |
2,904 |
$853K |
| T4523 |
Adult size brief/diaper lg |
623 |
476 |
$497K |
| G0152 |
Hhcp-serv of ot,ea 15 min |
5,248 |
950 |
$365K |
| G0153 |
Hhcp-svs of s/l path,ea 15mn |
3,795 |
669 |
$269K |
| G0157 |
Hhc pt assistant ea 15 |
3,756 |
710 |
$265K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
3,578 |
1,294 |
$261K |
| T4534 |
Youth size pull-on |
108 |
98 |
$78K |
| A6250 |
Skin seal protect moisturizr |
1,123 |
911 |
$75K |
| A6402 |
Sterile gauze <= 16 sq in |
3,830 |
1,673 |
$43K |
| A9286 |
Any hygienic item, device |
246 |
210 |
$42K |
| A4927 |
Non-sterile gloves |
133 |
114 |
$21K |
| T1016 |
Case management |
278 |
242 |
$16K |
| A6446 |
Conform band s w>=3" <5"/yd |
461 |
212 |
$12K |
| A4217 |
Sterile water/saline, 500 ml |
1,379 |
811 |
$7K |
| G0495 |
Rn care train/edu in hh |
91 |
38 |
$5K |
| A4450 |
Non-waterproof tape |
580 |
331 |
$3K |
| G0493 |
Rn care ea 15 min hh/hospice |
83 |
26 |
$3K |
| A6212 |
Foam drg <=16 sq in w/border |
21 |
13 |
$2K |
| G0288 |
Recon, cta for surg plan |
17 |
15 |
$1K |
| G0494 |
Lpn care ea 15min hh/hospice |
24 |
15 |
$1K |
| A6219 |
Gauze <= 16 sq in w/border |
54 |
24 |
$592.63 |
| A4770 |
Blood collection tube/vacuum |
95 |
47 |
$488.31 |
| A4221 |
Supp non-insulin inf cath/wk |
15 |
12 |
$191.48 |
| Q5001 |
Hospice or home hlth in home |
15 |
13 |
$0.00 |
| G0008 |
Admin influenza virus vac |
38 |
37 |
$0.00 |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
38 |
37 |
$0.00 |