| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,903 |
1,650 |
$29K |
| 0001A |
|
486 |
485 |
$15K |
| 0002A |
|
426 |
425 |
$15K |
| 0003A |
|
125 |
125 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
195 |
190 |
$3K |
| 90686 |
|
180 |
180 |
$2K |
| 0071A |
|
76 |
61 |
$2K |
| 0124A |
|
49 |
49 |
$2K |
| 91322 |
|
31 |
31 |
$2K |
| 0072A |
|
41 |
40 |
$2K |
| 91320 |
|
15 |
15 |
$2K |
| A4215 |
Needle, sterile, any size, each |
66 |
63 |
$1K |
| 90480 |
|
49 |
49 |
$770.18 |
| 0004A |
|
16 |
16 |
$640.00 |
| 0031A |
|
17 |
17 |
$640.00 |
| 90674 |
|
22 |
22 |
$443.64 |
| G0310 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) |
34 |
34 |
$409.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
213 |
211 |
$254.96 |
| A4259 |
Lancets, per box of 100 |
92 |
88 |
$193.23 |
| 91300 |
|
199 |
195 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
50 |
$0.00 |
| 91312 |
|
47 |
47 |
$0.00 |
| 91307 |
|
128 |
88 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
32 |
$0.00 |
| 90656 |
|
33 |
33 |
$0.00 |