| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
|
2,907 |
2,884 |
$9K |
| 99214 |
|
13,083 |
11,956 |
$8K |
| 99213 |
|
25,811 |
23,308 |
$7K |
| 3008F |
|
10,095 |
9,264 |
$1K |
| 3078F |
|
5,833 |
5,482 |
$1K |
| A0427 |
Als1-emergency |
1,219 |
1,078 |
$479.72 |
| 77067 |
|
2,480 |
2,473 |
$470.22 |
| 3074F |
|
6,605 |
6,171 |
$408.98 |
| 99202 |
|
27 |
27 |
$341.71 |
| 1000F |
|
946 |
907 |
$260.39 |
| 3079F |
|
1,519 |
1,426 |
$227.80 |
| 99204 |
|
2,693 |
2,596 |
$200.93 |
| 82306 |
|
12,003 |
11,970 |
$182.75 |
| 80053 |
|
28,556 |
26,927 |
$169.52 |
| 80061 |
|
21,401 |
21,311 |
$165.30 |
| 1036F |
|
1,249 |
1,180 |
$161.16 |
| 76700 |
|
522 |
521 |
$143.19 |
| 99396 |
|
55 |
54 |
$142.73 |
| 71046 |
|
905 |
898 |
$105.15 |
| 92012 |
|
926 |
871 |
$100.00 |
| 85025 |
|
30,416 |
27,286 |
$86.31 |
| 83036 |
|
16,104 |
16,018 |
$83.93 |
| A0425 |
Ground mileage |
3,799 |
2,633 |
$80.91 |
| 84443 |
|
19,522 |
19,335 |
$62.25 |
| 96372 |
|
601 |
444 |
$52.63 |
| 99211 |
|
580 |
520 |
$49.64 |
| 84153 |
|
3,421 |
3,413 |
$45.42 |
| 90688 |
|
53 |
53 |
$44.60 |
| 87591 |
|
7,855 |
7,729 |
$43.33 |
| 87491 |
|
7,887 |
7,758 |
$43.33 |
| 84481 |
|
2,411 |
2,385 |
$41.84 |
| 99212 |
|
2,013 |
1,850 |
$39.29 |
| 82274 |
|
1,698 |
1,678 |
$39.28 |
| 84480 |
|
1,915 |
1,903 |
$35.02 |
| 71045 |
|
364 |
279 |
$30.37 |
| 81001 |
|
13,419 |
13,169 |
$28.23 |
| 84439 |
|
6,167 |
6,114 |
$22.26 |
| 84436 |
|
3,233 |
3,217 |
$16.96 |
| 99000 |
|
1,220 |
1,174 |
$16.35 |
| 86780 |
|
176 |
175 |
$16.34 |
| 87880 |
|
92 |
91 |
$16.20 |
| 84479 |
|
2,019 |
2,009 |
$15.96 |
| 36415 |
|
26,100 |
24,568 |
$15.00 |
| 86038 |
|
1,810 |
1,791 |
$14.92 |
| 86039 |
|
570 |
559 |
$13.78 |
| 84550 |
|
4,627 |
4,603 |
$11.16 |
| 80048 |
|
4,402 |
3,581 |
$10.44 |
| 87086 |
|
4,773 |
4,606 |
$9.96 |
| 83735 |
|
3,100 |
2,485 |
$8.27 |
| 85027 |
|
5,649 |
5,455 |
$7.98 |
| 85730 |
|
2,635 |
2,464 |
$7.42 |
| 86431 |
|
1,559 |
1,547 |
$7.00 |
| 85652 |
|
3,560 |
3,536 |
$6.66 |
| 84100 |
|
1,604 |
1,289 |
$5.85 |
| 86592 |
|
5,094 |
5,066 |
$5.27 |
| 82947 |
|
686 |
680 |
$4.85 |
| 85610 |
|
3,565 |
3,132 |
$4.85 |
| 81003 |
|
4,005 |
3,940 |
$2.77 |
| 1111F |
|
204 |
200 |
$0.00 |
| 97140 |
|
5,655 |
2,000 |
$0.00 |
| S9088 |
Services provided in urgent |
508 |
447 |
$0.00 |
| 97112 |
|
1,204 |
262 |
$0.00 |
| 2000F |
|
50 |
50 |
$0.00 |
| 82607 |
|
5,335 |
5,324 |
$0.00 |
| K0001 |
Standard wheelchair |
651 |
643 |
$0.00 |
| 81000 |
|
972 |
942 |
$0.00 |
| 97014 |
|
3,743 |
1,114 |
$0.00 |
| 76536 |
|
141 |
141 |
$0.00 |
| 88305 |
|
1,420 |
1,295 |
$0.00 |
| 82950 |
|
504 |
502 |
$0.00 |
| 3080F |
|
182 |
173 |
$0.00 |
| E0305 |
Rails bed side half length |
40 |
40 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
315 |
303 |
$0.00 |
| A0999 |
Unlisted ambulance service |
351 |
270 |
$0.00 |
| 93000 |
|
1,614 |
1,594 |
$0.00 |
| 86803 |
|
2,031 |
2,026 |
$0.00 |
| 76811 |
|
26 |
26 |
$0.00 |
| 86160 |
|
374 |
372 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
271 |
246 |
$0.00 |
| 86255 |
|
106 |
106 |
$0.00 |
| 83690 |
|
1,174 |
1,099 |
$0.00 |
| E0603 |
Electric breast pump |
53 |
52 |
$0.00 |
| 90471 |
|
946 |
908 |
$0.00 |
| 83090 |
|
246 |
246 |
$0.00 |
| 83615 |
|
443 |
430 |
$0.00 |
| 86762 |
|
219 |
219 |
$0.00 |
| 86317 |
|
315 |
314 |
$0.00 |
| A0426 |
Als 1 |
177 |
176 |
$0.00 |
| 92551 |
|
723 |
707 |
$0.00 |
| 82150 |
|
529 |
527 |
$0.00 |
| 86800 |
|
218 |
216 |
$0.00 |
| E0431 |
Portable gaseous 02 |
302 |
291 |
$0.00 |
| S9451 |
Exercise class |
48 |
48 |
$0.00 |
| 92002 |
|
533 |
533 |
$0.00 |
| 84402 |
|
276 |
274 |
$0.00 |
| 82728 |
|
2,610 |
2,600 |
$0.00 |
| 95117 |
|
602 |
246 |
$0.00 |
| E1392 |
Portable oxygen concentrator |
137 |
136 |
$0.00 |
| 95115 |
|
283 |
105 |
$0.00 |
| 87389 |
|
4,465 |
4,454 |
$0.00 |
| G0471 |
Ven blood coll snf/hha |
25 |
12 |
$0.00 |
| 82672 |
|
106 |
106 |
$0.00 |
| 87661 |
|
232 |
231 |
$0.00 |
| D1206 |
|
117 |
117 |
$0.00 |
| 97010 |
|
2,208 |
1,016 |
$0.00 |
| 86580 |
|
57 |
56 |
$0.00 |
| 82670 |
|
621 |
612 |
$0.00 |
| 3075F |
|
538 |
515 |
$0.00 |
| 86901 |
|
441 |
423 |
$0.00 |
| 45378 |
|
121 |
121 |
$0.00 |
| 82952 |
|
89 |
89 |
$0.00 |
| 99232 |
|
337 |
143 |
$0.00 |
| 87510 |
|
101 |
99 |
$0.00 |
| 94760 |
|
1,571 |
1,411 |
$0.00 |
| 87147 |
|
603 |
595 |
$0.00 |
| 84484 |
|
929 |
762 |
$0.00 |
| 87046 |
|
192 |
190 |
$0.00 |
| 82962 |
|
296 |
127 |
$0.00 |
| 82378 |
|
572 |
553 |
$0.00 |
| 83002 |
|
795 |
790 |
$0.00 |
| 88142 |
|
664 |
663 |
$0.00 |
| 86304 |
|
290 |
276 |
$0.00 |
| 82043 |
|
4,291 |
4,274 |
$0.00 |
| 83001 |
|
1,066 |
1,054 |
$0.00 |
| 87081 |
|
970 |
953 |
$0.00 |
| 82105 |
|
265 |
258 |
$0.00 |
| 92226 |
|
192 |
192 |
$0.00 |
| 85018 |
|
1,271 |
1,236 |
$0.00 |
| 87077 |
|
1,109 |
1,088 |
$0.00 |
| 86704 |
|
428 |
427 |
$0.00 |
| 87651 |
|
132 |
124 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
85 |
80 |
$0.00 |
| 88738 |
|
156 |
155 |
$0.00 |
| 84703 |
|
537 |
526 |
$0.00 |
| 97035 |
|
365 |
124 |
$0.00 |
| 86850 |
|
92 |
89 |
$0.00 |
| 96110 |
|
153 |
152 |
$0.00 |
| 84432 |
|
65 |
64 |
$0.00 |
| 1126F |
|
242 |
222 |
$0.00 |
| E0607 |
Blood glucose monitor home |
15 |
15 |
$0.00 |
| 88141 |
|
477 |
476 |
$0.00 |
| 87070 |
|
1,941 |
1,914 |
$0.00 |
| 83550 |
|
2,496 |
2,488 |
$0.00 |
| 82746 |
|
4,061 |
4,055 |
$0.00 |
| 87340 |
|
1,603 |
1,593 |
$0.00 |
| 87088 |
|
3,200 |
3,122 |
$0.00 |
| 85651 |
|
115 |
114 |
$0.00 |
| 93306 |
|
135 |
134 |
$0.00 |
| 86300 |
|
149 |
131 |
$0.00 |
| 82951 |
|
172 |
172 |
$0.00 |
| 82550 |
|
877 |
870 |
$0.00 |
| A0428 |
Bls |
1,127 |
649 |
$0.00 |
| 86812 |
|
44 |
44 |
$0.00 |
| 88304 |
|
119 |
117 |
$0.00 |
| 86140 |
|
2,064 |
2,042 |
$0.00 |
| 82040 |
|
28 |
27 |
$0.00 |
| 83014 |
|
325 |
325 |
$0.00 |
| Q0092 |
Set up port xray equipment |
24 |
18 |
$0.00 |
| 87624 |
|
2,897 |
2,892 |
$0.00 |
| G0439 |
Ppps, subseq visit |
35 |
35 |
$0.00 |
| 36410 |
|
152 |
139 |
$0.00 |
| 86301 |
|
42 |
40 |
$0.00 |
| J3490 |
Drugs unclassified injection |
104 |
93 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
291 |
273 |
$0.00 |
| 77063 |
|
130 |
130 |
$0.00 |
| 83605 |
|
290 |
250 |
$0.00 |
| 86695 |
|
589 |
587 |
$0.00 |
| 80081 |
|
598 |
597 |
$0.00 |
| 86376 |
|
898 |
892 |
$0.00 |
| 87536 |
|
64 |
63 |
$0.00 |
| 86141 |
|
622 |
618 |
$0.00 |
| 99283 |
|
91 |
91 |
$0.00 |
| 83021 |
|
174 |
174 |
$0.00 |
| E0562 |
Humidifier heated used w pap |
456 |
456 |
$0.00 |
| A4253 |
Blood glucose/reagent strips |
355 |
337 |
$0.00 |
| A7037 |
Pos airway pressure tubing |
98 |
97 |
$0.00 |
| 1170F |
|
12 |
12 |
$0.00 |
| 86060 |
|
113 |
112 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
211 |
205 |
$0.00 |
| 76830 |
|
303 |
300 |
$0.00 |
| 86593 |
|
143 |
141 |
$0.00 |
| 84154 |
|
190 |
190 |
$0.00 |
| 86706 |
|
910 |
908 |
$0.00 |
| E0470 |
Rad w/o backup non-inv intfc |
109 |
109 |
$0.00 |
| 84144 |
|
354 |
344 |
$0.00 |
| E0570 |
Nebulizer with compression |
144 |
142 |
$0.00 |
| 99350 |
Prolong home eval add 15m |
100 |
63 |
$0.00 |
| 90686 |
|
62 |
62 |
$0.00 |
| 82784 |
|
297 |
272 |
$0.00 |
| 92060 |
|
52 |
52 |
$0.00 |
| S9494 |
Hit antibiotic total diem |
93 |
40 |
$0.00 |
| 99335 |
|
96 |
90 |
$0.00 |
| 97802 |
|
88 |
88 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |
| 82330 |
|
37 |
37 |
$0.00 |
| 1157F |
|
128 |
117 |
$0.00 |
| 45380 |
|
27 |
27 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
81 |
72 |
$0.00 |
| 87040 |
|
13 |
12 |
$0.00 |
| A7030 |
Cpap full face mask |
38 |
38 |
$0.00 |
| 36416 |
|
192 |
191 |
$0.00 |
| 83921 |
|
12 |
12 |
$0.00 |
| 88150 |
|
76 |
76 |
$0.00 |
| 87480 |
|
101 |
99 |
$0.00 |
| 72148 |
|
78 |
78 |
$0.00 |
| A0420 |
Ambulance waiting 1/2 hr |
144 |
127 |
$0.00 |
| 2001F |
|
72 |
44 |
$0.00 |
| 87276 |
|
37 |
37 |
$0.00 |
| 86225 |
|
457 |
456 |
$0.00 |
| 20610 |
|
17 |
12 |
$0.00 |
| 82533 |
|
130 |
124 |
$0.00 |
| 87205 |
|
115 |
113 |
$0.00 |
| 86430 |
|
72 |
72 |
$0.00 |
| 1125F |
|
16 |
16 |
$0.00 |
| 0001F |
|
71 |
43 |
$0.00 |
| 92004 |
|
36 |
34 |
$0.00 |
| T4535 |
Disposable liner/shield/pad |
132 |
110 |
$0.00 |
| 80050 |
|
30 |
29 |
$0.00 |
| E0143 |
Walker folding wheeled w/o s |
56 |
56 |
$0.00 |
| A0398 |
Als routine disposble suppls |
140 |
126 |
$0.00 |
| 99343 |
|
17 |
17 |
$0.00 |
| 80069 |
|
29 |
29 |
$0.00 |
| 83880 |
|
66 |
64 |
$0.00 |
| 84075 |
|
12 |
12 |
$0.00 |
| 99285 |
|
13 |
13 |
$0.00 |
| 83520 |
|
58 |
55 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
12 |
12 |
$0.00 |
| E0156 |
Walker seat attachment |
42 |
41 |
$0.00 |
| A7015 |
Aerosol mask used w nebulize |
13 |
13 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
54 |
26 |
$0.00 |
| 82024 |
|
12 |
12 |
$0.00 |
| 20553 |
|
14 |
13 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 87449 |
|
12 |
12 |
$0.00 |
| 85660 |
|
25 |
25 |
$0.00 |
| 97597 |
|
17 |
13 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| 96151 |
|
16 |
16 |
$0.00 |
| 86308 |
|
12 |
12 |
$0.00 |
| 87625 |
|
13 |
13 |
$0.00 |
| 45388 |
|
13 |
13 |
$0.00 |
| 80051 |
|
15 |
14 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
763 |
707 |
$0.00 |
| A7038 |
Pos airway pressure filter |
48 |
46 |
$0.00 |
| 86705 |
|
86 |
86 |
$0.00 |
| 81220 |
|
145 |
145 |
$0.00 |
| 82627 |
|
242 |
242 |
$0.00 |
| 83540 |
|
3,445 |
3,430 |
$0.00 |
| 99242 |
|
91 |
91 |
$0.00 |
| 99173 |
|
445 |
443 |
$0.00 |
| 86200 |
|
457 |
457 |
$0.00 |
| 87338 |
|
319 |
319 |
$0.00 |
| A4259 |
Lancets per box |
291 |
278 |
$0.00 |
| 97110 |
|
8,687 |
3,185 |
$0.00 |
| 1160F |
|
589 |
536 |
$0.00 |
| 83655 |
|
1,660 |
1,660 |
$0.00 |
| 83721 |
|
185 |
184 |
$0.00 |
| 0001M |
|
39 |
39 |
$0.00 |
| 82652 |
|
244 |
244 |
$0.00 |
| 76856 |
|
643 |
639 |
$0.00 |
| 90460 |
|
109 |
107 |
$0.00 |
| 92225 |
|
214 |
212 |
$0.00 |
| 87075 |
|
81 |
80 |
$0.00 |
| 99334 |
|
173 |
124 |
$0.00 |
| 3077F |
|
630 |
597 |
$0.00 |
| 92081 |
|
262 |
258 |
$0.00 |
| 97161 |
|
485 |
450 |
$0.00 |
| 84403 |
|
1,185 |
1,177 |
$0.00 |
| 99238 |
|
197 |
191 |
$0.00 |
| E0601 |
Cont airway pressure device |
585 |
583 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
53 |
52 |
$0.00 |
| 83516 |
|
302 |
301 |
$0.00 |
| 86900 |
|
437 |
411 |
$0.00 |
| 83970 |
|
502 |
495 |
$0.00 |
| 84681 |
|
95 |
95 |
$0.00 |
| 85014 |
|
321 |
321 |
$0.00 |
| 85613 |
|
69 |
69 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
53 |
53 |
$0.00 |
| 84450 |
|
195 |
195 |
$0.00 |
| 73562 |
|
131 |
96 |
$0.00 |
| 84295 |
|
25 |
24 |
$0.00 |
| 93010 |
|
83 |
74 |
$0.00 |
| 81002 |
|
629 |
584 |
$0.00 |
| 97799 |
|
1,029 |
429 |
$0.00 |
| A0429 |
Bls-emergency |
1,262 |
1,133 |
$0.00 |
| A4267 |
Male condom |
58 |
54 |
$0.00 |
| 83013 |
|
619 |
619 |
$0.00 |
| 82248 |
|
1,755 |
1,745 |
$0.00 |
| 82785 |
|
691 |
688 |
$0.00 |
| 76642 |
|
581 |
550 |
$0.00 |
| 81025 |
|
144 |
137 |
$0.00 |
| 84460 |
|
310 |
306 |
$0.00 |
| 87400 |
|
31 |
30 |
$0.00 |
| 87804 |
|
64 |
51 |
$0.00 |
| 86765 |
|
189 |
189 |
$0.00 |
| 87209 |
|
245 |
241 |
$0.00 |
| 84146 |
|
661 |
659 |
$0.00 |
| 88175 |
|
3,382 |
3,380 |
$0.00 |
| 83525 |
|
79 |
79 |
$0.00 |
| 86787 |
|
285 |
285 |
$0.00 |
| A0424 |
Extra ambulance attendant |
326 |
300 |
$0.00 |
| 92552 |
|
297 |
297 |
$0.00 |
| 73630 |
|
18 |
12 |
$0.00 |
| 80076 |
|
1,430 |
1,393 |
$0.00 |
| 84702 |
|
1,010 |
874 |
$0.00 |
| 90700 |
|
52 |
52 |
$0.00 |
| E0295 |
Hosp bed semi-elect w/o matt |
98 |
98 |
$0.00 |
| 80307 |
|
939 |
845 |
$0.00 |
| 86480 |
|
540 |
540 |
$0.00 |
| 84156 |
|
310 |
306 |
$0.00 |
| 77080 |
|
105 |
105 |
$0.00 |
| 95144 |
|
160 |
46 |
$0.00 |
| A7031 |
Replacement facemask interfa |
71 |
70 |
$0.00 |
| 86735 |
|
200 |
199 |
$0.00 |
| E1390 |
Oxygen concentrator |
749 |
734 |
$0.00 |
| J9035 |
Bevacizumab injection |
116 |
108 |
$0.00 |
| 84165 |
|
220 |
197 |
$0.00 |
| 99392 |
|
198 |
198 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
302 |
289 |
$0.00 |
| 84520 |
|
195 |
173 |
$0.00 |
| 86003 |
|
785 |
782 |
$0.00 |
| 99393 |
|
171 |
169 |
$0.00 |
| 92134 |
|
307 |
287 |
$0.00 |
| 80074 |
|
1,193 |
1,191 |
$0.00 |
| 82465 |
|
310 |
303 |
$0.00 |
| 92014 |
|
54 |
53 |
$0.00 |
| 99499 |
|
26 |
26 |
$0.00 |
| 99001 |
|
467 |
402 |
$0.00 |
| 82977 |
|
299 |
298 |
$0.00 |
| 82570 |
|
4,455 |
4,414 |
$0.00 |
| 88312 |
|
105 |
86 |
$0.00 |
| 86708 |
|
358 |
353 |
$0.00 |
| A4927 |
Non-sterile gloves |
32 |
32 |
$0.00 |
| 43239 |
|
152 |
152 |
$0.00 |
| 84155 |
|
86 |
85 |
$0.00 |
| A7035 |
Pos airway press headgear |
99 |
98 |
$0.00 |
| K0195 |
Elevating whlchair leg rests |
203 |
203 |
$0.00 |
| 82140 |
|
23 |
19 |
$0.00 |
| T4541 |
Large disposable underpad |
111 |
107 |
$0.00 |
| 84445 |
|
213 |
206 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
42 |
38 |
$0.00 |
| 86696 |
|
724 |
722 |
$0.00 |
| 73721 |
|
86 |
70 |
$0.00 |
| 70551 |
|
12 |
12 |
$0.00 |
| 87502 |
|
131 |
124 |
$0.00 |
| 99284 |
|
54 |
52 |
$0.00 |
| 80164 |
|
69 |
68 |
$0.00 |
| 86334 |
|
50 |
43 |
$0.00 |
| 1159F |
|
576 |
530 |
$0.00 |
| 95811 |
|
54 |
54 |
$0.00 |
| 87660 |
|
101 |
99 |
$0.00 |
| 69210 |
|
31 |
29 |
$0.00 |
| 73030 |
|
16 |
15 |
$0.00 |
| 85045 |
|
323 |
316 |
$0.00 |
| 86147 |
|
125 |
125 |
$0.00 |
| 99199 |
|
473 |
402 |
$0.00 |
| 67028 |
|
136 |
127 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
13 |
12 |
$0.00 |
| 90658 |
|
115 |
113 |
$0.00 |
| 85041 |
|
28 |
28 |
$0.00 |
| E0184 |
Dry pressure mattress |
52 |
52 |
$0.00 |
| 87427 |
|
191 |
189 |
$0.00 |
| 72100 |
|
134 |
134 |
$0.00 |
| 99051 |
|
220 |
204 |
$0.00 |
| 90472 |
|
12 |
12 |
$0.00 |
| 87177 |
|
248 |
244 |
$0.00 |
| 82565 |
|
272 |
255 |
$0.00 |
| 82948 |
|
20 |
12 |
$0.00 |
| 82397 |
|
95 |
95 |
$0.00 |
| P9604 |
One-way allow prorated trip |
358 |
171 |
$0.00 |
| A5500 |
Diab shoe for density insert |
44 |
43 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
96 |
55 |
$0.00 |
| 82310 |
|
131 |
125 |
$0.00 |
| 84425 |
|
14 |
14 |
$0.00 |
| 99222 |
|
149 |
147 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
13 |
12 |
$0.00 |
| 99336 |
|
29 |
29 |
$0.00 |
| A0422 |
Ambulance 02 life sustaining |
179 |
155 |
$0.00 |
| 87045 |
|
196 |
194 |
$0.00 |
| G0483 |
Drug test def 22+ classes |
81 |
55 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 86665 |
|
16 |
16 |
$0.00 |
| G0482 |
Drug test def 15-21 classes |
200 |
200 |
$0.00 |
| 87186 |
|
1,086 |
1,064 |
$0.00 |
| G0270 |
Mnt subs tx for change dx |
42 |
42 |
$0.00 |
| H1003 |
Prenatal at risk education |
31 |
26 |
$0.00 |
| 17110 |
|
24 |
24 |
$0.00 |
| 99244 |
|
57 |
57 |
$0.00 |
| 93005 |
|
103 |
95 |
$0.00 |
| K0003 |
Lightweight wheelchair |
96 |
96 |
$0.00 |
| 86709 |
|
27 |
27 |
$0.00 |
| 99245 |
|
12 |
12 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
147 |
49 |
$0.00 |
| 80202 |
|
21 |
12 |
$0.00 |
| 77066 |
Tomosynthesis, mammo |
123 |
123 |
$0.00 |
| 97001 |
|
231 |
150 |
$0.00 |
| 99395 |
|
62 |
62 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
44 |
42 |
$0.00 |
| 86235 |
|
419 |
419 |
$0.00 |
| 99601 |
|
58 |
14 |
$0.00 |
| 92015 |
|
257 |
253 |
$0.00 |
| A0382 |
Basic support routine suppls |
122 |
91 |
$0.00 |
| 86677 |
|
14 |
14 |
$0.00 |
| 88112 |
|
37 |
37 |
$0.00 |
| 94150 |
|
54 |
50 |
$0.00 |
| E0114 |
Crutch underarm pair no wood |
12 |
12 |
$0.00 |
| 86906 |
|
28 |
27 |
$0.00 |
| 87275 |
|
37 |
37 |
$0.00 |
| 92133 |
|
25 |
25 |
$0.00 |
| 59425 |
|
54 |
37 |
$0.00 |
| 99348 |
|
20 |
20 |
$0.00 |
| 86008 |
|
38 |
38 |
$0.00 |
| 99236 |
Prolong inpt eval add15 m |
48 |
48 |
$0.00 |
| A7034 |
Nasal application device |
13 |
13 |
$0.00 |
| 95913 |
|
15 |
14 |
$0.00 |
| 92083 |
|
26 |
26 |
$0.00 |
| 90633 |
|
16 |
16 |
$0.00 |
| 99394 |
|
13 |
13 |
$0.00 |
| 81007 |
|
14 |
13 |
$0.00 |
| 86146 |
|
24 |
24 |
$0.00 |
| 77065 |
Tomosynthesis, mammo |
13 |
13 |
$0.00 |
| 87798 |
|
15 |
15 |
$0.00 |
| 85007 |
|
28 |
28 |
$0.00 |
| T2049 |
N-et; stretcher van, mileage |
59 |
12 |
$0.00 |
| 95004 |
|
29 |
29 |
$0.00 |
| 70553 |
|
12 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 87324 |
|
12 |
12 |
$0.00 |
| 3725F |
|
15 |
15 |
$0.00 |