| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
22,302 |
18,845 |
$1.79M |
| 99285 |
|
9,052 |
7,789 |
$1.06M |
| 99283 |
|
15,015 |
12,982 |
$777K |
| 99282 |
|
5,501 |
4,896 |
$151K |
| 93010 |
|
4,985 |
3,741 |
$38K |
| 99291 |
|
324 |
243 |
$38K |
| 99213 |
|
2,094 |
1,626 |
$36K |
| 11042 |
|
953 |
507 |
$35K |
| 99214 |
|
1,401 |
1,152 |
$33K |
| 90999 |
|
2,438 |
50 |
$31K |
| G0463 |
Hospital outpt clinic visit |
1,098 |
474 |
$11K |
| 12011 |
|
90 |
80 |
$8K |
| 99232 |
|
510 |
168 |
$7K |
| 93005 |
|
511 |
55 |
$7K |
| 12001 |
|
65 |
62 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
210 |
69 |
$4K |
| 96372 |
|
46 |
27 |
$4K |
| 97110 |
|
244 |
98 |
$3K |
| 99204 |
|
95 |
92 |
$3K |
| 99222 |
|
95 |
86 |
$2K |
| G0008 |
Admin influenza virus vac |
394 |
59 |
$2K |
| E1390 |
Oxygen concentrator |
108 |
108 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
60 |
51 |
$2K |
| 99308 |
|
147 |
131 |
$2K |
| 93306 |
|
100 |
95 |
$2K |
| 90837 |
|
109 |
88 |
$2K |
| 99212 |
|
140 |
119 |
$2K |
| 99203 |
|
100 |
96 |
$2K |
| 97140 |
|
176 |
43 |
$2K |
| 93971 |
|
75 |
26 |
$2K |
| 90960 |
|
20 |
20 |
$1K |
| 98941 |
|
47 |
39 |
$895.61 |
| 99215 |
Prolong outpt/office vis |
38 |
36 |
$800.24 |
| 97530 |
|
64 |
17 |
$694.75 |
| 99221 |
|
31 |
30 |
$676.28 |
| 71046 |
|
72 |
52 |
$662.07 |
| 99309 |
|
23 |
21 |
$608.90 |
| 97112 |
|
70 |
38 |
$598.52 |
| Q3014 |
Telehealth facility fee |
46 |
27 |
$583.01 |
| 90961 |
|
12 |
12 |
$573.00 |
| 90834 |
|
39 |
32 |
$513.05 |
| 90935 |
|
34 |
15 |
$452.60 |
| 99231 |
|
58 |
28 |
$422.62 |
| 99307 |
|
24 |
13 |
$388.36 |
| 99211 |
|
88 |
86 |
$372.10 |
| G2025 |
Dis site tele svcs rhc/fqhc |
17 |
17 |
$344.43 |
| E0601 |
Cont airway pressure device |
34 |
33 |
$343.52 |
| 97116 |
|
86 |
12 |
$330.08 |
| A7031 |
Replacement facemask interfa |
14 |
14 |
$329.83 |
| A7030 |
Cpap full face mask |
13 |
13 |
$314.76 |
| Q0513 |
Disp fee inhal drugs/30 days |
46 |
46 |
$244.20 |
| 71045 |
|
134 |
100 |
$218.90 |
| 92014 |
|
15 |
15 |
$192.90 |
| A4604 |
Tubing with heating element |
19 |
19 |
$185.20 |
| 20610 |
|
13 |
13 |
$175.26 |
| 93970 |
|
21 |
15 |
$165.00 |
| 99152 |
|
64 |
62 |
$156.16 |
| E1392 |
Portable oxygen concentrator |
24 |
24 |
$156.02 |
| E0431 |
Portable gaseous 02 |
27 |
27 |
$130.01 |
| A4253 |
Blood glucose/reagent strips |
39 |
39 |
$127.41 |
| 93296 |
|
16 |
16 |
$116.53 |
| E0562 |
Humidifier heated used w pap |
12 |
12 |
$113.19 |
| K0738 |
Portable gas oxygen system |
15 |
15 |
$105.77 |
| 70450 |
|
13 |
12 |
$93.28 |
| A7035 |
Pos airway press headgear |
15 |
15 |
$75.95 |
| A7038 |
Pos airway pressure filter |
21 |
21 |
$67.28 |
| A4357 |
Bedside drainage bag |
12 |
12 |
$40.21 |
| E0570 |
Nebulizer with compression |
25 |
25 |
$39.85 |
| A7046 |
Repl water chamber, pap dev |
12 |
12 |
$32.94 |
| J7620 |
Albuterol ipratrop non-comp |
12 |
12 |
$29.04 |
| J7613 |
Albuterol non-comp unit |
12 |
12 |
$11.33 |
| 36415 |
|
14 |
14 |
$0.00 |