| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
10,312 |
8,270 |
$481K |
| 99284 |
|
4,409 |
3,233 |
$260K |
| 99213 |
|
7,582 |
6,248 |
$203K |
| 99203 |
|
2,996 |
2,614 |
$160K |
| 99214 |
|
3,821 |
3,167 |
$145K |
| 99282 |
|
3,683 |
3,163 |
$96K |
| 90960 |
|
637 |
578 |
$68K |
| 90961 |
|
744 |
694 |
$63K |
| 99212 |
|
2,734 |
2,328 |
$57K |
| 90999 |
|
2,815 |
94 |
$51K |
| 99204 |
|
671 |
621 |
$48K |
| 99285 |
|
646 |
468 |
$40K |
| 88305 |
|
1,025 |
906 |
$32K |
| 99232 |
|
1,543 |
510 |
$31K |
| A0427 |
Als1-emergency |
263 |
218 |
$25K |
| 99239 |
|
418 |
364 |
$20K |
| G0463 |
Hospital outpt clinic visit |
1,890 |
824 |
$20K |
| 99202 |
|
525 |
451 |
$18K |
| 92567 |
|
1,300 |
1,151 |
$18K |
| 99222 |
|
243 |
199 |
$17K |
| A0429 |
Bls-emergency |
197 |
175 |
$15K |
| 93010 |
|
2,965 |
2,362 |
$13K |
| 93005 |
|
1,073 |
92 |
$13K |
| A0425 |
Ground mileage |
513 |
443 |
$10K |
| E1390 |
Oxygen concentrator |
330 |
330 |
$10K |
| A9270 |
Non-covered item or service |
318 |
31 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
186 |
27 |
$7K |
| 96372 |
|
72 |
32 |
$6K |
| 00170 |
|
61 |
53 |
$6K |
| 74177 |
|
67 |
56 |
$6K |
| G0008 |
Admin influenza virus vac |
603 |
95 |
$5K |
| 01967 |
|
50 |
48 |
$5K |
| 17110 |
|
92 |
79 |
$4K |
| 90834 |
|
169 |
126 |
$4K |
| 97110 |
|
222 |
107 |
$4K |
| 90837 |
|
147 |
97 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
51 |
49 |
$3K |
| 71045 |
|
323 |
272 |
$2K |
| 99308 |
|
126 |
102 |
$2K |
| 70450 |
|
64 |
55 |
$2K |
| 90832 |
|
91 |
77 |
$2K |
| 92014 |
|
56 |
56 |
$1K |
| 98941 |
|
151 |
119 |
$1K |
| 99309 |
|
42 |
32 |
$1K |
| A7031 |
Replacement facemask interfa |
52 |
52 |
$1K |
| E0601 |
Cont airway pressure device |
130 |
130 |
$1K |
| 99231 |
|
149 |
54 |
$1K |
| G2025 |
Dis site tele svcs rhc/fqhc |
87 |
84 |
$1K |
| A7030 |
Cpap full face mask |
47 |
47 |
$1K |
| 93306 |
|
41 |
37 |
$1K |
| 71046 |
|
60 |
31 |
$1K |
| 99217 |
|
46 |
39 |
$1K |
| Q0513 |
Disp fee inhal drugs/30 days |
89 |
85 |
$895.50 |
| 92504 |
|
55 |
45 |
$798.05 |
| E1392 |
Portable oxygen concentrator |
97 |
96 |
$740.13 |
| A4604 |
Tubing with heating element |
73 |
73 |
$736.26 |
| 20610 |
|
16 |
12 |
$726.48 |
| 11721 |
|
51 |
32 |
$686.31 |
| 69210 |
|
27 |
24 |
$657.53 |
| 99211 |
|
75 |
72 |
$619.28 |
| Q3014 |
Telehealth facility fee |
107 |
69 |
$582.90 |
| 97112 |
|
69 |
44 |
$543.90 |
| J7626 |
Budesonide non-comp unit |
29 |
28 |
$481.05 |
| 90471 |
|
52 |
12 |
$423.10 |
| 99238 |
|
30 |
14 |
$418.76 |
| A7034 |
Nasal application device |
27 |
27 |
$416.47 |
| E0431 |
Portable gaseous 02 |
82 |
82 |
$393.68 |
| 90853 |
|
61 |
28 |
$359.81 |
| 97530 |
|
26 |
12 |
$342.33 |
| A7035 |
Pos airway press headgear |
59 |
59 |
$306.72 |
| A7038 |
Pos airway pressure filter |
78 |
78 |
$299.29 |
| 97140 |
|
53 |
15 |
$295.21 |
| E0570 |
Nebulizer with compression |
95 |
95 |
$262.74 |
| A4253 |
Blood glucose/reagent strips |
92 |
92 |
$254.57 |
| E0562 |
Humidifier heated used w pap |
69 |
69 |
$237.58 |
| 98940 |
|
45 |
39 |
$226.03 |
| 88304 |
|
25 |
24 |
$186.94 |
| 73610 |
|
15 |
13 |
$165.22 |
| K0738 |
Portable gas oxygen system |
16 |
16 |
$131.51 |
| A7046 |
Repl water chamber, pap dev |
41 |
41 |
$130.47 |
| J7620 |
Albuterol ipratrop non-comp |
52 |
50 |
$104.50 |
| 92134 |
|
14 |
13 |
$88.48 |
| K0001 |
Standard wheelchair |
12 |
12 |
$69.02 |
| 94727 |
|
14 |
13 |
$66.66 |
| 76937 |
|
15 |
13 |
$43.05 |
| 36410 |
|
20 |
18 |
$35.34 |
| 92015 |
|
14 |
14 |
$20.49 |
| 36415 |
|
56 |
53 |
$6.72 |
| 4255F |
|
898 |
795 |
$0.02 |
| G8427 |
Docrev cur meds by elig clin |
24 |
24 |
$0.00 |
| 0521F |
|
64 |
25 |
$0.00 |
| 1125F |
|
67 |
25 |
$0.00 |
| 1126F |
|
23 |
12 |
$0.00 |
| 4086F |
|
16 |
13 |
$0.00 |