| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99345 |
Prolong home eval add 15m |
77,034 |
76,922 |
$668.60 |
| G8510 |
Scr dep neg, no plan reqd |
70,020 |
69,822 |
$21.30 |
| 96127 |
|
80,133 |
79,908 |
$10.63 |
| G8427 |
Docrev cur meds by elig clin |
99,898 |
99,583 |
$0.02 |
| 1159F |
|
99,897 |
99,580 |
$0.02 |
| 1160F |
|
100,094 |
99,779 |
$0.02 |
| 1126F |
|
50,230 |
50,089 |
$0.02 |
| 3016F |
|
14,428 |
14,338 |
$0.01 |
| 80307 |
|
215 |
204 |
$0.00 |
| 1158F |
|
2,474 |
2,468 |
$0.00 |
| 80076 |
|
64 |
64 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
7,099 |
7,068 |
$0.00 |
| 99501 |
|
6,324 |
6,310 |
$0.00 |
| 85610 |
|
99 |
91 |
$0.00 |
| 85014 |
|
215 |
215 |
$0.00 |
| 3046F |
|
925 |
913 |
$0.00 |
| 2022F |
|
1,880 |
1,863 |
$0.00 |
| 92081 |
|
154 |
154 |
$0.00 |
| 85049 |
|
58 |
58 |
$0.00 |
| 99393 |
|
321 |
320 |
$0.00 |
| 87491 |
|
417 |
413 |
$0.00 |
| T1015 |
Clinic service |
217 |
208 |
$0.00 |
| 83026 |
|
28 |
28 |
$0.00 |
| 3077F |
|
4,829 |
4,797 |
$0.00 |
| 3078F |
|
22,618 |
22,531 |
$0.00 |
| 90791 |
|
111 |
111 |
$0.00 |
| 86038 |
|
67 |
65 |
$0.00 |
| 99306 |
Prolong nursin fac eval 15m |
363 |
363 |
$0.00 |
| 83037 |
|
6,269 |
6,212 |
$0.00 |
| H0046 |
Mental health service, nos |
2,495 |
418 |
$0.00 |
| 82570 |
|
211 |
211 |
$0.00 |
| 99382 |
|
1,003 |
1,002 |
$0.00 |
| 3045F |
|
665 |
651 |
$0.00 |
| 97803 |
|
46 |
46 |
$0.00 |
| 99394 |
|
226 |
226 |
$0.00 |
| 99401 |
|
134 |
119 |
$0.00 |
| 99284 |
|
27 |
27 |
$0.00 |
| S5111 |
Family homecare train/sessio |
1,914 |
337 |
$0.00 |
| 99188 |
|
1,011 |
1,009 |
$0.00 |
| 3725F |
|
112 |
106 |
$0.00 |
| 84403 |
|
15 |
15 |
$0.00 |
| 3051F |
|
669 |
665 |
$0.00 |
| 82947 |
|
32 |
32 |
$0.00 |
| 59425 |
|
51 |
33 |
$0.00 |
| 99212 |
|
158 |
150 |
$0.00 |
| 80061 |
|
1,031 |
1,029 |
$0.00 |
| 99173 |
|
2,400 |
2,396 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
193 |
193 |
$0.00 |
| 87338 |
|
33 |
33 |
$0.00 |
| 83970 |
|
14 |
14 |
$0.00 |
| 90460 |
|
77 |
75 |
$0.00 |
| 71046 |
|
148 |
145 |
$0.00 |
| E1390 |
Oxygen concentrator |
19 |
19 |
$0.00 |
| T4527 |
Adult size pull-on lg |
16 |
16 |
$0.00 |
| 87880 |
|
23 |
22 |
$0.00 |
| 99408 |
|
523 |
522 |
$0.00 |
| 97039 |
|
87 |
40 |
$0.00 |
| 83540 |
|
145 |
143 |
$0.00 |
| 84156 |
|
349 |
337 |
$0.00 |
| 86235 |
|
25 |
25 |
$0.00 |
| 84702 |
|
64 |
63 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| A0429 |
Bls-emergency |
151 |
140 |
$0.00 |
| 99347 |
|
53 |
53 |
$0.00 |
| 83721 |
|
35 |
35 |
$0.00 |
| 92015 |
|
104 |
104 |
$0.00 |
| A0130 |
Noner transport wheelch van |
743 |
107 |
$0.00 |
| 84146 |
|
17 |
17 |
$0.00 |
| A6250 |
Skin seal protect moisturizr |
13 |
13 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
33 |
33 |
$0.00 |
| 81003 |
|
118 |
118 |
$0.00 |
| 82248 |
|
48 |
47 |
$0.00 |
| 83655 |
|
57 |
57 |
$0.00 |
| G0444 |
Depression screen annual |
56 |
56 |
$0.00 |
| 82274 |
|
78 |
78 |
$0.00 |
| A0425 |
Ground mileage |
343 |
302 |
$0.00 |
| 76856 |
|
12 |
12 |
$0.00 |
| S9999 |
Sales tax |
17 |
17 |
$0.00 |
| 84100 |
|
18 |
18 |
$0.00 |
| T4541 |
Large disposable underpad |
72 |
72 |
$0.00 |
| 86039 |
|
24 |
22 |
$0.00 |
| 80074 |
|
61 |
60 |
$0.00 |
| 93010 |
|
14 |
13 |
$0.00 |
| G0483 |
Drug test def 22+ classes |
39 |
37 |
$0.00 |
| 99392 |
|
128 |
126 |
$0.00 |
| 82785 |
|
19 |
19 |
$0.00 |
| 88175 |
|
116 |
116 |
$0.00 |
| 84439 |
|
172 |
171 |
$0.00 |
| A0100 |
Nonemergency transport taxi |
1,407 |
242 |
$0.00 |
| E0443 |
Portable 02 contents, gas |
14 |
14 |
$0.00 |
| 80299 |
|
39 |
37 |
$0.00 |
| 77067 |
|
112 |
111 |
$0.00 |
| 87186 |
|
26 |
26 |
$0.00 |
| 82977 |
|
35 |
35 |
$0.00 |
| 90472 |
|
26 |
25 |
$0.00 |
| 90833 |
|
25 |
25 |
$0.00 |
| 86431 |
|
58 |
57 |
$0.00 |
| 90655 |
|
28 |
28 |
$0.00 |
| A0424 |
Extra ambulance attendant |
33 |
31 |
$0.00 |
| 81220 |
|
12 |
12 |
$0.00 |
| 85007 |
|
29 |
27 |
$0.00 |
| 98968 |
|
16 |
16 |
$0.00 |
| G0270 |
Mnt subs tx for change dx |
37 |
37 |
$0.00 |
| 86200 |
|
23 |
23 |
$0.00 |
| 92552 |
|
49 |
49 |
$0.00 |
| E0601 |
Cont airway pressure device |
12 |
12 |
$0.00 |
| 84460 |
|
14 |
14 |
$0.00 |
| T4526 |
Adult size pull-on med |
20 |
19 |
$0.00 |
| 86003 |
|
22 |
22 |
$0.00 |
| 84481 |
|
44 |
43 |
$0.00 |
| 76642 |
|
18 |
17 |
$0.00 |
| H1003 |
Prenatal at risk education |
25 |
13 |
$0.00 |
| 81002 |
|
15 |
15 |
$0.00 |
| 84550 |
|
93 |
92 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |
| 85045 |
|
14 |
13 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |
| 86696 |
|
22 |
22 |
$0.00 |
| 86480 |
|
15 |
14 |
$0.00 |
| 83516 |
|
19 |
19 |
$0.00 |
| 86708 |
|
22 |
22 |
$0.00 |
| 3044F |
|
3,261 |
3,231 |
$0.00 |
| 87086 |
|
221 |
215 |
$0.00 |
| 99384 |
|
2,610 |
2,610 |
$0.00 |
| 92551 |
|
472 |
471 |
$0.00 |
| 1111F |
|
5,969 |
5,933 |
$0.00 |
| G9226 |
3 comp foot exam completed |
6,274 |
6,211 |
$0.00 |
| 99385 |
|
175 |
175 |
$0.00 |
| H2019 |
Ther behav svc, per 15 min |
4,878 |
447 |
$0.00 |
| 96161 |
|
11,200 |
11,167 |
$0.00 |
| 1125F |
|
12,152 |
12,098 |
$0.00 |
| 85018 |
|
206 |
205 |
$0.00 |
| 3079F |
|
8,224 |
8,160 |
$0.00 |
| 85025 |
|
1,240 |
1,191 |
$0.00 |
| 3074F |
|
23,204 |
23,108 |
$0.00 |
| 99283 |
|
66 |
65 |
$0.00 |
| 87147 |
|
13 |
13 |
$0.00 |
| 36415 |
|
1,061 |
1,013 |
$0.00 |
| 99213 |
|
2,485 |
2,319 |
$0.00 |
| 3060F |
|
414 |
409 |
$0.00 |
| 86376 |
|
26 |
26 |
$0.00 |
| 84479 |
|
65 |
65 |
$0.00 |
| 1170F |
|
2,476 |
2,469 |
$0.00 |
| G8433 |
Scr for dep not cpt doc rsn |
691 |
690 |
$0.00 |
| 36416 |
|
6,270 |
6,212 |
$0.00 |
| 92499 |
|
97 |
97 |
$0.00 |
| 82746 |
|
89 |
86 |
$0.00 |
| 87389 |
|
256 |
255 |
$0.00 |
| 99350 |
Prolong home eval add 15m |
9,852 |
9,830 |
$0.00 |
| 3075F |
|
4,814 |
4,781 |
$0.00 |
| 81000 |
|
322 |
322 |
$0.00 |
| 80053 |
|
1,297 |
1,264 |
$0.00 |
| 99383 |
|
2,840 |
2,839 |
$0.00 |
| 2023F |
|
2,117 |
2,107 |
$0.00 |
| 86140 |
|
66 |
65 |
$0.00 |
| 99344 |
|
2,582 |
2,537 |
$0.00 |
| 86580 |
|
57 |
57 |
$0.00 |
| 3061F |
|
2,278 |
2,244 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
53,850 |
32,107 |
$0.00 |
| 3351F |
|
223 |
196 |
$0.00 |
| 96110 |
|
499 |
497 |
$0.00 |
| E0431 |
Portable gaseous 02 |
17 |
17 |
$0.00 |
| 4010F |
|
1,195 |
1,194 |
$0.00 |
| 3008F |
|
153 |
145 |
$0.00 |
| S9088 |
Services provided in urgent |
15 |
15 |
$0.00 |
| 82044 |
|
2,346 |
2,341 |
$0.00 |
| 84436 |
|
97 |
95 |
$0.00 |
| 3080F |
|
1,937 |
1,926 |
$0.00 |
| 82945 |
|
2,690 |
2,676 |
$0.00 |
| 88305 |
|
25 |
25 |
$0.00 |
| 71045 |
|
261 |
213 |
$0.00 |
| 85730 |
|
74 |
73 |
$0.00 |
| 86225 |
|
21 |
21 |
$0.00 |
| 84480 |
|
57 |
55 |
$0.00 |
| 81001 |
|
588 |
579 |
$0.00 |
| 83002 |
|
13 |
13 |
$0.00 |
| A4335 |
Incontinence supply |
13 |
13 |
$0.00 |
| 99381 |
|
178 |
177 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
44 |
42 |
$0.00 |
| 87340 |
|
55 |
55 |
$0.00 |
| 99214 |
|
208 |
196 |
$0.00 |
| 83550 |
|
103 |
101 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |
| 83036 |
|
983 |
981 |
$0.00 |
| 3052F |
|
384 |
380 |
$0.00 |
| 86593 |
|
18 |
18 |
$0.00 |
| 84443 |
|
825 |
821 |
$0.00 |
| 86695 |
|
22 |
22 |
$0.00 |
| 86706 |
|
33 |
33 |
$0.00 |
| 86803 |
|
98 |
97 |
$0.00 |
| 92002 |
|
34 |
34 |
$0.00 |
| 87081 |
|
37 |
37 |
$0.00 |
| 82378 |
|
17 |
16 |
$0.00 |
| E0562 |
Humidifier heated used w pap |
17 |
17 |
$0.00 |
| A0427 |
Als1-emergency |
165 |
148 |
$0.00 |
| 92560 |
|
37 |
37 |
$0.00 |
| 80048 |
|
116 |
115 |
$0.00 |
| 76830 |
|
12 |
12 |
$0.00 |
| 87591 |
|
406 |
402 |
$0.00 |
| H0049 |
Alcohol/drug screening |
112 |
105 |
$0.00 |
| 82306 |
|
335 |
332 |
$0.00 |
| 86592 |
|
300 |
299 |
$0.00 |
| 86160 |
|
23 |
23 |
$0.00 |
| 80081 |
|
78 |
78 |
$0.00 |
| 82550 |
|
22 |
22 |
$0.00 |
| 99285 |
|
18 |
18 |
$0.00 |
| 86317 |
|
14 |
14 |
$0.00 |
| 82728 |
|
87 |
85 |
$0.00 |
| 86780 |
|
17 |
16 |
$0.00 |
| 86901 |
|
12 |
12 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
17 |
17 |
$0.00 |
| 94760 |
|
37 |
32 |
$0.00 |
| 82950 |
|
45 |
45 |
$0.00 |
| T4535 |
Disposable liner/shield/pad |
23 |
20 |
$0.00 |
| 85027 |
|
230 |
228 |
$0.00 |
| 87536 |
|
21 |
21 |
$0.00 |
| 82607 |
|
104 |
102 |
$0.00 |
| 83001 |
|
20 |
20 |
$0.00 |
| 86361 |
|
12 |
12 |
$0.00 |
| 90471 |
|
69 |
67 |
$0.00 |
| 90650 |
|
12 |
12 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
22 |
21 |
$0.00 |
| 86255 |
|
21 |
21 |
$0.00 |
| 87088 |
|
150 |
148 |
$0.00 |
| 84153 |
|
99 |
97 |
$0.00 |
| 87070 |
|
64 |
64 |
$0.00 |
| 86300 |
|
14 |
12 |
$0.00 |
| 87624 |
|
23 |
23 |
$0.00 |
| 85652 |
|
123 |
122 |
$0.00 |
| 82043 |
|
196 |
196 |
$0.00 |
| 83735 |
|
25 |
23 |
$0.00 |
| 87077 |
|
32 |
32 |
$0.00 |
| 86704 |
|
19 |
19 |
$0.00 |
| 83615 |
|
19 |
19 |
$0.00 |
| 90688 |
|
36 |
36 |
$0.00 |
| 90792 |
|
22 |
22 |
$0.00 |
| K0001 |
Standard wheelchair |
18 |
17 |
$0.00 |
| 88142 |
|
16 |
16 |
$0.00 |
| 90674 |
|
16 |
16 |
$0.00 |