| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1399 |
Durable medical equipment, miscellaneous |
520 |
511 |
$88K |
| 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) |
2,143 |
1,934 |
$62K |
| 0011A |
|
549 |
544 |
$12K |
| 0002A |
|
374 |
356 |
$12K |
| 0012A |
|
511 |
505 |
$11K |
| 0001A |
|
371 |
362 |
$11K |
| 91322 |
|
88 |
75 |
$10K |
| 0071A |
|
302 |
228 |
$10K |
| 0072A |
|
244 |
224 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
491 |
440 |
$8K |
| 0064A |
|
179 |
161 |
$6K |
| 0013A |
|
149 |
149 |
$6K |
| 90756 |
|
243 |
242 |
$5K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
299 |
283 |
$5K |
| 0004A |
|
139 |
128 |
$5K |
| 0124A |
|
89 |
79 |
$3K |
| 0134A |
|
93 |
79 |
$3K |
| 90480 |
|
60 |
60 |
$3K |
| 90661 |
|
90 |
70 |
$2K |
| 0003A |
|
38 |
38 |
$2K |
| 90688 |
|
89 |
89 |
$1K |
| 99401 |
|
49 |
38 |
$1K |
| G0312 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) |
32 |
32 |
$1K |
| A4259 |
Lancets, per box of 100 |
12 |
12 |
$15.04 |
| 91307 |
|
563 |
417 |
$0.00 |
| 91306 |
|
179 |
161 |
$0.00 |
| 91305 |
|
13 |
13 |
$0.00 |
| 91301 |
|
1,278 |
1,235 |
$0.00 |
| 91300 |
|
982 |
843 |
$0.00 |
| 91312 |
|
89 |
79 |
$0.00 |
| 91313 |
|
93 |
79 |
$0.00 |