| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
7,492 |
5,955 |
$240K |
| 99214 |
|
3,423 |
3,039 |
$131K |
| 87502 |
|
243 |
226 |
$18K |
| 99284 |
|
592 |
200 |
$14K |
| 90999 |
|
1,015 |
24 |
$12K |
| 93005 |
|
634 |
59 |
$11K |
| G0463 |
Hospital outpt clinic visit |
904 |
419 |
$10K |
| 99285 |
|
288 |
145 |
$9K |
| 90837 |
|
387 |
239 |
$9K |
| 99308 |
|
482 |
397 |
$9K |
| 99283 |
|
378 |
134 |
$8K |
| A9270 |
Non-covered item or service |
212 |
26 |
$8K |
| 99232 |
|
546 |
219 |
$8K |
| 36415 |
|
3,456 |
2,985 |
$6K |
| 87635 |
|
143 |
133 |
$6K |
| E1390 |
Oxygen concentrator |
238 |
237 |
$6K |
| 85004 |
|
960 |
808 |
$6K |
| A0429 |
Bls-emergency |
54 |
45 |
$5K |
| 99215 |
Prolong outpt/office vis |
129 |
123 |
$5K |
| 93306 |
|
126 |
124 |
$4K |
| 90834 |
|
312 |
205 |
$4K |
| A0425 |
Ground mileage |
89 |
84 |
$4K |
| 80048 |
|
1,437 |
1,330 |
$4K |
| 98941 |
|
411 |
247 |
$4K |
| 85025 |
|
737 |
639 |
$4K |
| 99291 |
|
83 |
52 |
$3K |
| 93010 |
|
422 |
273 |
$3K |
| 71046 |
|
258 |
208 |
$3K |
| E0466 |
Home vent non-invasive inter |
14 |
14 |
$3K |
| 96372 |
|
56 |
43 |
$3K |
| 99212 |
|
134 |
120 |
$3K |
| 87651 |
|
80 |
70 |
$3K |
| 87400 |
|
181 |
60 |
$3K |
| J3301 |
Triamcinolone acet inj nos |
53 |
17 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
119 |
65 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
57 |
55 |
$2K |
| 85048 |
|
958 |
809 |
$2K |
| 99222 |
|
78 |
72 |
$2K |
| 97110 |
|
215 |
89 |
$2K |
| 92014 |
|
99 |
88 |
$2K |
| 99204 |
|
56 |
56 |
$2K |
| 90832 |
|
169 |
139 |
$2K |
| 99203 |
|
90 |
89 |
$2K |
| 97140 |
|
112 |
32 |
$2K |
| W0037 |
|
524 |
524 |
$2K |
| 74177 |
|
36 |
30 |
$2K |
| G2211 |
Complex e/m visit add on |
310 |
270 |
$2K |
| 90471 |
|
174 |
164 |
$2K |
| 93922 |
|
67 |
25 |
$1K |
| A0427 |
Als1-emergency |
13 |
13 |
$1K |
| 99309 |
|
57 |
52 |
$1K |
| Q0513 |
Disp fee inhal drugs/30 days |
41 |
41 |
$1K |
| G0008 |
Admin influenza virus vac |
247 |
86 |
$972.01 |
| 83721 |
|
344 |
339 |
$813.63 |
| 84443 |
|
71 |
64 |
$699.20 |
| 92134 |
|
36 |
34 |
$697.00 |
| 99239 |
|
25 |
25 |
$678.55 |
| E0601 |
Cont airway pressure device |
58 |
58 |
$650.36 |
| 98940 |
|
125 |
92 |
$623.53 |
| Q3014 |
Telehealth facility fee |
35 |
25 |
$564.28 |
| 36416 |
|
291 |
219 |
$504.64 |
| 11721 |
|
49 |
47 |
$469.99 |
| 71045 |
|
207 |
166 |
$464.57 |
| 92012 |
|
28 |
28 |
$444.43 |
| E1392 |
Portable oxygen concentrator |
56 |
56 |
$431.20 |
| 85027 |
|
118 |
94 |
$415.74 |
| 90472 |
|
26 |
24 |
$385.38 |
| 99442 |
|
33 |
33 |
$382.59 |
| 80076 |
|
156 |
155 |
$373.69 |
| 93971 |
|
45 |
12 |
$347.42 |
| 88305 |
|
20 |
20 |
$314.93 |
| 67028 |
|
12 |
12 |
$270.39 |
| 90853 |
|
46 |
31 |
$254.84 |
| 70450 |
|
33 |
31 |
$252.88 |
| 99231 |
|
33 |
26 |
$249.23 |
| E0431 |
Portable gaseous 02 |
51 |
50 |
$237.72 |
| 99307 |
|
18 |
18 |
$228.33 |
| 99211 |
|
18 |
16 |
$210.48 |
| 82550 |
|
119 |
119 |
$204.95 |
| E0562 |
Humidifier heated used w pap |
35 |
35 |
$196.28 |
| 73030 |
|
12 |
12 |
$190.23 |
| 83735 |
|
98 |
98 |
$159.92 |
| A4604 |
Tubing with heating element |
15 |
15 |
$149.61 |
| 90688 |
|
48 |
48 |
$149.52 |
| A4253 |
Blood glucose/reagent strips |
59 |
59 |
$143.60 |
| 80061 |
|
40 |
40 |
$132.00 |
| K0738 |
Portable gas oxygen system |
16 |
16 |
$122.22 |
| E0570 |
Nebulizer with compression |
44 |
44 |
$90.19 |
| A7035 |
Pos airway press headgear |
15 |
15 |
$78.63 |
| K0001 |
Standard wheelchair |
12 |
12 |
$72.24 |
| A7038 |
Pos airway pressure filter |
21 |
21 |
$69.22 |
| 81003 |
|
48 |
42 |
$57.53 |
| 99152 |
|
17 |
17 |
$41.67 |
| A7046 |
Repl water chamber, pap dev |
12 |
12 |
$34.68 |
| 74018 |
|
15 |
12 |
$33.96 |
| 83036 |
|
12 |
12 |
$31.26 |
| J7620 |
Albuterol ipratrop non-comp |
14 |
14 |
$25.31 |
| 3017F |
|
282 |
234 |
$0.00 |
| G8754 |
Dias bp less 90 |
1,136 |
930 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
1,643 |
1,344 |
$0.00 |
| 1036F |
|
1,688 |
1,381 |
$0.00 |
| 90686 |
|
29 |
29 |
$0.00 |
| 99000 |
|
53 |
47 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
17 |
14 |
$0.00 |
| G9906 |
Pt recv tbco cess interv |
16 |
14 |
$0.00 |
| G8752 |
Sys bp less 140 |
771 |
650 |
$0.00 |
| 4040F |
|
1,075 |
883 |
$0.00 |
| G8730 |
Pain doc pos and plan |
84 |
53 |
$0.00 |
| 92015 |
|
36 |
36 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
443 |
371 |
$0.00 |
| G8399 |
Pt w/dxa results document |
44 |
38 |
$0.00 |
| G9991 |
Pneum vax admin 19+ |
49 |
40 |
$0.00 |
| G9990 |
No pneum vax admin 19+ |
40 |
38 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
14 |
12 |
$0.00 |
| G9899 |
Scrn mam perf rslts doc |
13 |
12 |
$0.00 |
| G8539 |
Doc funct and care plan |
13 |
13 |
$0.00 |
| 4004F |
|
18 |
15 |
$0.00 |