| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
16,343 |
13,860 |
$694K |
| 99214 |
|
6,823 |
5,975 |
$392K |
| 99391 |
|
3,273 |
2,785 |
$217K |
| W0037 |
|
6,927 |
6,927 |
$132K |
| 99392 |
|
1,743 |
1,699 |
$117K |
| 99393 |
|
1,279 |
1,242 |
$91K |
| 90472 |
|
3,725 |
3,638 |
$78K |
| 90471 |
|
6,775 |
6,597 |
$70K |
| 90999 |
|
3,938 |
103 |
$53K |
| 99394 |
|
660 |
640 |
$48K |
| G0463 |
Hospital outpt clinic visit |
2,321 |
982 |
$30K |
| 36415 |
|
7,148 |
6,140 |
$29K |
| 99232 |
|
1,160 |
384 |
$27K |
| 99238 |
|
386 |
366 |
$19K |
| 80305 |
|
1,726 |
1,507 |
$18K |
| 87428 |
|
420 |
405 |
$17K |
| 93005 |
|
1,220 |
113 |
$17K |
| 99284 |
|
761 |
116 |
$16K |
| 85025 |
|
2,236 |
2,062 |
$15K |
| 87426 |
|
346 |
341 |
$13K |
| 99188 |
|
527 |
517 |
$13K |
| 90686 |
|
3,132 |
3,084 |
$13K |
| 99222 |
|
196 |
179 |
$12K |
| A9270 |
Non-covered item or service |
383 |
42 |
$12K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
203 |
34 |
$11K |
| 96372 |
|
229 |
171 |
$11K |
| 99460 |
|
130 |
127 |
$11K |
| 80053 |
|
1,217 |
1,134 |
$10K |
| 99283 |
|
346 |
72 |
$10K |
| 99000 |
|
4,948 |
4,238 |
$9K |
| 99215 |
Prolong outpt/office vis |
187 |
152 |
$9K |
| 84443 |
|
653 |
619 |
$9K |
| 90715 |
|
497 |
490 |
$8K |
| 99308 |
|
293 |
279 |
$8K |
| 99285 |
|
281 |
46 |
$7K |
| 99212 |
|
206 |
195 |
$7K |
| 81025 |
|
902 |
835 |
$6K |
| 87804 |
|
434 |
212 |
$6K |
| 83036 |
|
925 |
904 |
$6K |
| G0008 |
Admin influenza virus vac |
677 |
163 |
$6K |
| 81001 |
|
1,801 |
1,664 |
$6K |
| 90837 |
|
279 |
190 |
$5K |
| 90834 |
|
321 |
246 |
$5K |
| E1390 |
Oxygen concentrator |
235 |
235 |
$5K |
| 80048 |
|
855 |
793 |
$5K |
| 93306 |
|
56 |
56 |
$4K |
| 99281 |
|
43 |
37 |
$4K |
| 99309 |
|
98 |
89 |
$3K |
| 99462 |
|
92 |
70 |
$3K |
| 99239 |
|
57 |
55 |
$3K |
| 98941 |
|
264 |
199 |
$3K |
| 92014 |
|
112 |
111 |
$3K |
| 87880 |
|
187 |
169 |
$3K |
| 96110 |
|
363 |
345 |
$3K |
| 76815 |
|
30 |
28 |
$3K |
| 97110 |
|
170 |
77 |
$2K |
| 97161 |
|
90 |
16 |
$2K |
| 85018 |
|
816 |
780 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
46 |
44 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
105 |
44 |
$2K |
| 90651 |
|
325 |
322 |
$2K |
| 90832 |
|
177 |
131 |
$2K |
| Q3014 |
Telehealth facility fee |
191 |
81 |
$2K |
| 99177 |
|
306 |
293 |
$2K |
| 71046 |
|
128 |
94 |
$2K |
| G2025 |
Dis site tele svcs rhc/fqhc |
76 |
75 |
$2K |
| 87210 |
|
308 |
286 |
$2K |
| 80061 |
|
175 |
167 |
$2K |
| 90670 |
|
1,692 |
1,673 |
$1K |
| 99203 |
|
68 |
57 |
$1K |
| 11721 |
|
111 |
89 |
$1K |
| Q0513 |
Disp fee inhal drugs/30 days |
58 |
58 |
$1K |
| 99204 |
|
33 |
33 |
$1K |
| E0601 |
Cont airway pressure device |
77 |
77 |
$809.66 |
| 99211 |
|
71 |
62 |
$769.65 |
| 99307 |
|
41 |
39 |
$735.53 |
| 97140 |
|
103 |
31 |
$680.55 |
| 97112 |
|
54 |
31 |
$641.64 |
| A7031 |
Replacement facemask interfa |
29 |
28 |
$632.22 |
| 90710 |
|
471 |
463 |
$565.27 |
| Q0091 |
Obtaining screen pap smear |
25 |
24 |
$539.79 |
| E1392 |
Portable oxygen concentrator |
67 |
67 |
$536.85 |
| 90671 |
|
341 |
328 |
$512.82 |
| A7030 |
Cpap full face mask |
18 |
18 |
$446.34 |
| A4604 |
Tubing with heating element |
40 |
40 |
$383.65 |
| 92004 |
|
12 |
12 |
$378.50 |
| 99490 |
Ccm add 20min |
36 |
34 |
$321.76 |
| 93296 |
|
39 |
39 |
$301.86 |
| 93010 |
|
144 |
120 |
$301.40 |
| 71045 |
|
90 |
75 |
$237.70 |
| 92012 |
|
20 |
19 |
$213.80 |
| 98940 |
|
37 |
28 |
$208.51 |
| G2211 |
Complex e/m visit add on |
79 |
74 |
$202.66 |
| 92134 |
|
25 |
25 |
$183.58 |
| J7626 |
Budesonide non-comp unit |
15 |
13 |
$171.27 |
| 11056 |
|
14 |
14 |
$170.19 |
| A7035 |
Pos airway press headgear |
31 |
31 |
$161.08 |
| E0431 |
Portable gaseous 02 |
37 |
37 |
$160.30 |
| A4253 |
Blood glucose/reagent strips |
53 |
53 |
$156.41 |
| A7038 |
Pos airway pressure filter |
44 |
44 |
$142.28 |
| E0562 |
Humidifier heated used w pap |
31 |
31 |
$119.96 |
| 88305 |
|
26 |
15 |
$96.32 |
| K0001 |
Standard wheelchair |
15 |
15 |
$92.23 |
| 82950 |
|
13 |
12 |
$83.04 |
| E0570 |
Nebulizer with compression |
35 |
35 |
$59.98 |
| A7046 |
Repl water chamber, pap dev |
12 |
12 |
$37.01 |
| Q0512 |
Px sup fee anti-can sub pres |
12 |
12 |
$32.00 |
| 90688 |
|
258 |
252 |
$2.46 |
| 90633 |
|
778 |
766 |
$1.76 |
| 90733 |
|
266 |
260 |
$1.07 |
| 90685 |
|
46 |
46 |
$0.46 |
| 90620 |
|
13 |
13 |
$0.02 |
| 90648 |
|
1,044 |
1,032 |
$0.00 |
| 90681 |
|
774 |
761 |
$0.00 |
| 90700 |
|
25 |
24 |
$0.00 |
| G8730 |
Pain doc pos and plan |
50 |
28 |
$0.00 |
| 92015 |
|
14 |
14 |
$0.00 |
| 90649 |
|
65 |
65 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
12 |
12 |
$0.00 |
| 90697 |
|
759 |
737 |
$0.00 |
| 90723 |
|
809 |
800 |
$0.00 |
| 90696 |
|
64 |
64 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |