| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11042 |
|
95,121 |
46,039 |
$1.54M |
| 99213 |
|
59,470 |
28,364 |
$1.02M |
| 99214 |
|
41,474 |
19,329 |
$991K |
| 99232 |
|
52,596 |
11,530 |
$459K |
| 97610 |
|
3,895 |
1,613 |
$249K |
| 87798 |
|
2,217 |
1,437 |
$237K |
| 11045 |
|
6,507 |
3,256 |
$114K |
| A6196 |
Alginate dressing <=16 sq in |
1,830 |
1,475 |
$110K |
| 11043 |
|
2,056 |
1,159 |
$104K |
| 87481 |
|
2,164 |
1,437 |
$82K |
| 99233 |
Prolong inpt eval add15 m |
5,035 |
1,573 |
$69K |
| 99349 |
|
2,457 |
1,579 |
$53K |
| 99308 |
|
9,655 |
4,238 |
$52K |
| 99204 |
|
1,189 |
1,037 |
$46K |
| 99309 |
|
8,726 |
2,763 |
$45K |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
1,527 |
1,201 |
$43K |
| A6021 |
Collagen dressing <=16 sq in |
367 |
222 |
$41K |
| 99215 |
Prolong outpt/office vis |
1,158 |
455 |
$39K |
| 99223 |
Prolong inpt eval add15 m |
1,001 |
806 |
$38K |
| 0598T |
|
2,671 |
1,587 |
$23K |
| 87651 |
|
2,075 |
1,418 |
$23K |
| 87500 |
|
2,076 |
1,421 |
$23K |
| 87641 |
|
2,092 |
1,418 |
$22K |
| 87653 |
|
2,070 |
1,416 |
$22K |
| A6197 |
Alginate drsg >16 <=48 sq in |
136 |
115 |
$19K |
| 97597 |
|
1,215 |
724 |
$17K |
| 99222 |
|
764 |
671 |
$16K |
| 99231 |
|
2,903 |
814 |
$15K |
| 17250 |
|
738 |
425 |
$13K |
| 11044 |
|
73 |
27 |
$6K |
| 99205 |
Prolong outpt/office vis |
98 |
86 |
$5K |
| 11721 |
|
1,542 |
1,347 |
$4K |
| 99350 |
Prolong home eval add 15m |
163 |
106 |
$3K |
| 99212 |
|
337 |
220 |
$3K |
| A4450 |
Non-waterproof tape |
1,169 |
1,000 |
$3K |
| 99348 |
|
143 |
66 |
$2K |
| G0179 |
Md recertification hha pt |
213 |
206 |
$2K |
| 99203 |
|
65 |
51 |
$2K |
| 99304 |
|
278 |
234 |
$1K |
| 99305 |
|
159 |
145 |
$1K |
| A6216 |
Non-sterile gauze<=16 sq in |
2,132 |
1,786 |
$1K |
| A6253 |
Absorpt drg > 48 sq in w/o b |
13 |
13 |
$1K |
| 0599T |
|
165 |
106 |
$1K |
| 36415 |
|
1,546 |
1,308 |
$982.07 |
| A6212 |
Foam drg <=16 sq in w/border |
17 |
15 |
$780.81 |
| 29581 |
|
34 |
12 |
$754.56 |
| 99307 |
|
133 |
73 |
$728.51 |
| G0180 |
Md certification hha patient |
42 |
38 |
$727.87 |
| A6446 |
Conform band s w>=3" <5"/yd |
36 |
29 |
$436.15 |
| 99310 |
Prolong nursin fac eval 15m |
178 |
73 |
$394.44 |
| 11719 |
|
135 |
111 |
$131.15 |
| 11720 |
|
78 |
65 |
$96.31 |
| 99497 |
|
17 |
12 |
$55.04 |
| A6441 |
Pad band w>=3" <5"/yd |
29 |
26 |
$25.20 |
| 99306 |
Prolong nursin fac eval 15m |
13 |
12 |
$0.00 |
| 99441 |
|
25 |
12 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
18 |
12 |
$0.00 |