| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
16,564 |
15,593 |
$1.73M |
| 99214 |
|
2,454 |
2,375 |
$261K |
| 99212 |
|
2,267 |
2,182 |
$224K |
| 99202 |
|
2,122 |
2,098 |
$214K |
| 99203 |
|
1,889 |
1,863 |
$199K |
| 99204 |
|
405 |
402 |
$42K |
| 99215 |
Prolong outpt/office vis |
30 |
29 |
$3K |
| 99051 |
|
12,309 |
11,684 |
$700.00 |
| 87880 |
|
6,137 |
5,948 |
$9.58 |
| 99000 |
|
315 |
312 |
$0.00 |
| 94640 |
|
1,767 |
1,717 |
$0.00 |
| A9150 |
Non-prescription drugs |
165 |
165 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,744 |
1,702 |
$0.00 |
| 96372 |
|
303 |
298 |
$0.00 |
| 94760 |
|
1,750 |
1,708 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
100 |
100 |
$0.00 |
| J3490 |
Unclassified drugs |
682 |
642 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
25 |
25 |
$0.00 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
12 |
12 |
$0.00 |
| A6260 |
Wound cleansers, any type, any size |
39 |
38 |
$0.00 |
| 81002 |
|
2,006 |
1,955 |
$0.00 |
| 87804 |
|
1,191 |
1,164 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
19 |
19 |
$0.00 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
1,749 |
1,707 |
$0.00 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
56 |
55 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
120 |
119 |
$0.00 |
| 69210 |
|
112 |
112 |
$0.00 |
| 71046 |
|
13 |
13 |
$0.00 |