| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0299 |
Hhs/hospice of rn ea 15 min |
10,246 |
2,810 |
$700K |
| T4541 |
Large disposable underpad |
6,660 |
6,302 |
$551K |
| T4528 |
Adult size pull-on xl |
1,977 |
1,873 |
$442K |
| T4527 |
Adult size pull-on lg |
2,266 |
2,102 |
$429K |
| T4526 |
Adult size pull-on med |
1,541 |
1,455 |
$284K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
3,601 |
801 |
$193K |
| T4535 |
Disposable liner/shield/pad |
2,421 |
2,283 |
$187K |
| G0152 |
Hhcp-serv of ot,ea 15 min |
335 |
84 |
$14K |
| T4532 |
Ped size pull-on lg |
41 |
38 |
$9K |
| A6402 |
Sterile gauze <= 16 sq in |
17 |
12 |
$87.48 |
| A4217 |
Sterile water/saline, 500 ml |
23 |
14 |
$80.50 |
| Q5001 |
Hospice or home hlth in home |
233 |
219 |
$0.00 |