| 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 |
1,287 |
330 |
$87K |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
455 |
159 |
$31K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
15 |
13 |
$572.60 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
74 |
53 |
$509.40 |
| A6253 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
52 |
24 |
$361.40 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
114 |
65 |
$359.99 |
| A4649 |
Surgical supply; miscellaneous |
20 |
12 |
$100.62 |