Retirement & HSA › F8889.15
F8889.15 · federal · F8889 line 15
Qualified medical expenses paid
2,150
engine v3
not yet verified
How this number was built
R-HSA Form 8889 from W-2 code W, Form 5498-SA and Form 1099-SA.
Sources (2) — where the inputs came from
2025 Form 1099-SA - HSA (Ngozi Okafor)
D44 · page 1 · field box3 · “Box 3 distribution code”
read as “1” → 1
99%
Questionnaire: Were HSA distributions used for medical expenses?
Yes, all of them.
Flows into
History — nothing is overwritten
v1 · 2026-03-04: 2,150v2 · 2026-03-19: 2,150v3 · 2026-06-23: 2,150
Adjust this number
Evidence & discussion
Record how you verified it