| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
|
93,048 |
47,495 |
$4.98M |
| Q4282 |
Cygnus dual per sq cm |
92 |
27 |
$3.45M |
| 99308 |
|
115,860 |
55,517 |
$3.23M |
| Q4159 |
Affinity1 square cm |
84 |
26 |
$866K |
| 99305 |
|
7,743 |
6,626 |
$456K |
| 99214 |
|
5,462 |
4,628 |
$394K |
| 99306 |
Prolong nursin fac eval 15m |
3,834 |
3,256 |
$299K |
| 99310 |
Prolong nursin fac eval 15m |
3,889 |
2,512 |
$241K |
| 99213 |
|
3,945 |
3,061 |
$190K |
| 99232 |
|
2,912 |
1,028 |
$134K |
| 99316 |
|
1,985 |
1,841 |
$77K |
| 99220 |
|
552 |
515 |
$69K |
| 99497 |
|
2,761 |
2,301 |
$59K |
| 99239 |
|
758 |
701 |
$57K |
| 99219 |
|
628 |
580 |
$49K |
| 99215 |
Prolong outpt/office vis |
553 |
405 |
$21K |
| 99217 |
|
506 |
450 |
$18K |
| 99223 |
Prolong inpt eval add15 m |
53 |
53 |
$11K |
| 11043 |
|
96 |
41 |
$7K |
| 99222 |
|
41 |
39 |
$6K |
| 90966 |
|
118 |
92 |
$4K |
| 99231 |
|
248 |
93 |
$4K |
| 99204 |
|
29 |
25 |
$4K |
| 99235 |
|
14 |
13 |
$2K |
| 99307 |
|
99 |
73 |
$2K |
| 93923 |
|
13 |
13 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
17 |
12 |
$2K |
| 99315 |
|
37 |
31 |
$2K |
| 99238 |
|
59 |
49 |
$1K |
| 95923 |
|
12 |
12 |
$1K |
| 99212 |
|
32 |
27 |
$1K |
| 95921 |
|
12 |
12 |
$819.36 |
| 15271 |
|
208 |
64 |
$544.56 |
| 99483 |
Prolong outpt/office vis |
16 |
12 |
$461.72 |
| 99334 |
|
35 |
29 |
$194.48 |
| 93040 |
|
13 |
13 |
$138.08 |
| 96127 |
|
15 |
14 |
$63.11 |
| G8785 |
Bp scrn no perf at interval |
100 |
75 |
$0.00 |
| 1100F |
|
95 |
84 |
$0.00 |
| 3045F |
|
456 |
298 |
$0.00 |
| G8952 |
Pre-htn/htn, no f/u, not gvn |
151 |
124 |
$-1.86 |
| G8950 |
Pre-htn or htn doc, f/u indc |
237 |
186 |
$-1.95 |
| G8783 |
Bp scrn perf rec interval |
1,956 |
1,435 |
$-4.97 |