| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95811 |
|
648 |
626 |
$83K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
614 |
580 |
$56K |
| 99233 |
Prolong inpt eval add15 m |
179 |
79 |
$10K |
| 93971 |
|
520 |
496 |
$7K |
| A0434 |
Specialty care transport (sct) |
32 |
30 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
726 |
683 |
$5K |
| 99215 |
Prolong outpt/office vis |
45 |
44 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
47 |
$4K |
| A0425 |
Ground mileage, per statute mile |
73 |
70 |
$3K |
| 95806 |
|
13 |
13 |
$813.60 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
108 |
80 |
$746.50 |
| 93970 |
|
15 |
14 |
$6.77 |
| Q3014 |
Telehealth originating site facility fee |
114 |
61 |
$0.00 |
| 75574 |
|
47 |
29 |
$0.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
14 |
13 |
$0.00 |