| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2030 |
Assisted living, waiver; per month |
1,243 |
1,054 |
$1.68M |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
2,852 |
2,252 |
$318K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,143 |
1,800 |
$111K |
| E1392 |
Portable oxygen concentrator, rental |
1,353 |
1,031 |
$93K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
373 |
261 |
$72K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
317 |
247 |
$72K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
4,862 |
3,840 |
$69K |
| E0601 |
Continuous positive airway pressure (cpap) device |
635 |
522 |
$33K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
212 |
40 |
$17K |
| A0425 |
Ground mileage, per statute mile |
879 |
589 |
$15K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
734 |
625 |
$8K |
| 80053 |
Comprehensive metabolic panel |
998 |
915 |
$7K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
62 |
12 |
$6K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
301 |
288 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
444 |
407 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
829 |
771 |
$5K |
| 80061 |
Lipid panel |
465 |
450 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,038 |
923 |
$5K |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
166 |
39 |
$4K |
| 82607 |
|
219 |
216 |
$2K |
| 11721 |
|
39 |
39 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
83 |
73 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
14 |
12 |
$978.60 |
| E0570 |
Nebulizer, with compressor |
86 |
73 |
$952.84 |
| 84439 |
|
80 |
79 |
$788.42 |
| 82652 |
|
14 |
14 |
$660.10 |
| 82570 |
|
93 |
90 |
$513.54 |
| 83735 |
|
87 |
83 |
$336.20 |
| 82746 |
|
25 |
25 |
$234.13 |
| 82043 |
|
29 |
29 |
$205.32 |
| 81001 |
|
37 |
26 |
$50.44 |
| A7035 |
Headgear used with positive airway pressure device |
14 |
14 |
$0.00 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
20 |
20 |
$0.00 |
| 87186 |
|
29 |
27 |
$0.00 |
| 90687 |
|
13 |
13 |
$0.00 |
| 87088 |
|
57 |
54 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
12 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
16 |
16 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
132 |
105 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$0.00 |