| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
3,334 |
2,762 |
$81K |
| 99214 |
|
456 |
405 |
$17K |
| 99212 |
|
564 |
471 |
$8K |
| 90834 |
|
134 |
111 |
$4K |
| 80053 |
|
970 |
905 |
$3K |
| 92014 |
|
57 |
57 |
$3K |
| 80061 |
|
618 |
595 |
$3K |
| 99231 |
|
167 |
65 |
$3K |
| 97110 |
|
176 |
126 |
$2K |
| 90837 |
|
88 |
72 |
$2K |
| G0463 |
Hospital outpt clinic visit |
191 |
89 |
$2K |
| 36415 |
|
1,777 |
1,540 |
$2K |
| 85025 |
|
782 |
694 |
$2K |
| 98941 |
|
155 |
122 |
$2K |
| 93005 |
|
154 |
13 |
$2K |
| 90832 |
|
76 |
65 |
$2K |
| 99238 |
|
59 |
52 |
$1K |
| E1390 |
Oxygen concentrator |
46 |
46 |
$1K |
| 96372 |
|
180 |
119 |
$1K |
| 83036 |
|
400 |
390 |
$994.71 |
| 85027 |
|
365 |
340 |
$910.37 |
| 90688 |
|
100 |
97 |
$758.17 |
| 90471 |
|
46 |
45 |
$426.45 |
| 80048 |
|
168 |
155 |
$390.85 |
| 99307 |
|
42 |
26 |
$373.20 |
| 82977 |
|
115 |
112 |
$335.26 |
| 98940 |
|
50 |
37 |
$273.66 |
| 97140 |
|
54 |
45 |
$266.61 |
| 84443 |
|
70 |
68 |
$263.76 |
| 99308 |
|
19 |
19 |
$260.49 |
| E0601 |
Cont airway pressure device |
23 |
23 |
$260.05 |
| 97112 |
|
36 |
29 |
$252.15 |
| 92012 |
|
13 |
13 |
$227.28 |
| 97530 |
|
21 |
14 |
$185.47 |
| 81001 |
|
141 |
134 |
$171.57 |
| 92134 |
|
13 |
13 |
$147.61 |
| 82550 |
|
47 |
46 |
$138.63 |
| A4604 |
Tubing with heating element |
13 |
13 |
$131.15 |
| E1392 |
Portable oxygen concentrator |
14 |
14 |
$111.41 |
| Q0513 |
Disp fee inhal drugs/30 days |
17 |
17 |
$92.40 |
| Q3014 |
Telehealth facility fee |
15 |
13 |
$82.64 |
| A4253 |
Blood glucose/reagent strips |
22 |
22 |
$64.68 |
| E0562 |
Humidifier heated used w pap |
17 |
17 |
$58.74 |
| A7038 |
Pos airway pressure filter |
13 |
13 |
$39.57 |
| 84439 |
|
15 |
15 |
$32.01 |
| E0570 |
Nebulizer with compression |
14 |
14 |
$27.62 |
| 71045 |
|
14 |
12 |
$20.25 |
| G0008 |
Admin influenza virus vac |
71 |
70 |
$0.00 |