| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
46,747 |
11,971 |
$3.38M |
| T4541 |
Incontinence product, disposable underpad, large, each |
6,597 |
5,340 |
$2.29M |
| S5108 |
Home care training to home care client, per 15 minutes |
21,195 |
1,636 |
$1.97M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,292 |
1,944 |
$1.56M |
| G0156 |
Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
46,086 |
3,598 |
$1.33M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,825 |
1,481 |
$1.31M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,845 |
1,417 |
$924K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,344 |
1,123 |
$861K |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
12,169 |
2,904 |
$853K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
623 |
476 |
$497K |
| G0152 |
Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes |
5,248 |
950 |
$365K |
| G0153 |
Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes |
3,795 |
669 |
$269K |
| G0157 |
Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes |
3,756 |
710 |
$265K |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
3,578 |
1,294 |
$261K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
108 |
98 |
$78K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
1,123 |
911 |
$75K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
3,830 |
1,673 |
$43K |
| A9286 |
Hygienic item or device, disposable or non-disposable, any type, each |
246 |
210 |
$42K |
| A4927 |
Gloves, non-sterile, per 100 |
133 |
114 |
$21K |
| T1016 |
Case management, each 15 minutes |
278 |
242 |
$16K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
461 |
212 |
$12K |
| A4217 |
Sterile water/saline, 500 ml |
1,379 |
811 |
$7K |
| G0495 |
Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes |
91 |
38 |
$5K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
580 |
331 |
$3K |
| G0493 |
Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) |
83 |
26 |
$3K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
21 |
13 |
$2K |
| G0288 |
Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery |
17 |
15 |
$1K |
| G0494 |
Skilled services of a licensed practical nurse (lpn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) |
24 |
15 |
$1K |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
54 |
24 |
$592.63 |
| A4770 |
Blood collection tube, vacuum, for dialysis, per 50 |
95 |
47 |
$488.31 |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
15 |
12 |
$191.48 |
| Q5001 |
Hospice or home health care provided in patient's home/residence |
15 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
38 |
37 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
38 |
37 |
$0.00 |