| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
21,489 |
8,520 |
$222K |
| 11042 |
|
12,560 |
5,128 |
$134K |
| 11043 |
|
8,437 |
3,108 |
$101K |
| S5110 |
Family homecare training 15m |
20,292 |
7,813 |
$84K |
| 29581 |
|
6,017 |
1,905 |
$32K |
| 11045 |
|
2,266 |
876 |
$15K |
| 99245 |
|
872 |
864 |
$6K |
| 97597 |
|
2,880 |
1,195 |
$5K |
| 11046 |
|
708 |
260 |
$2K |
| 99199 |
|
7,351 |
2,950 |
$2K |
| 99215 |
Prolong outpt/office vis |
263 |
84 |
$2K |
| 94760 |
|
1,120 |
613 |
$1K |
| 29580 |
|
1,025 |
229 |
$1K |
| G2211 |
Complex e/m visit add on |
430 |
243 |
$459.81 |
| 99212 |
|
163 |
97 |
$306.64 |
| 99213 |
|
20 |
16 |
$86.40 |
| 97535 |
|
227 |
111 |
$42.84 |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
964 |
933 |
$12.00 |
| A6446 |
Conform band s w>=3" <5"/yd |
1,067 |
1,025 |
$4.77 |
| 97139 |
|
119 |
43 |
$1.00 |
| 99499 |
|
1,679 |
571 |
$0.00 |
| A6248 |
Hydrogel drsg gel filler |
266 |
260 |
$0.00 |
| A6253 |
Absorpt drg > 48 sq in w/o b |
226 |
219 |
$0.00 |
| A6210 |
Foam drg >16<=48 sq in w/o b |
652 |
625 |
$0.00 |
| A6402 |
Sterile gauze <= 16 sq in |
545 |
531 |
$0.00 |
| 99072 |
|
1,284 |
443 |
$0.00 |
| A6266 |
Impreg gauze no h20/sal/yard |
323 |
304 |
$0.00 |
| A6457 |
Tubular dressing |
28 |
27 |
$0.00 |
| A6234 |
Hydrocolld drg <=16 w/o bdr |
36 |
33 |
$0.00 |
| S5111 |
Family homecare train/sessio |
68 |
37 |
$0.00 |
| 99211 |
|
18 |
14 |
$0.00 |
| A4450 |
Non-waterproof tape |
165 |
163 |
$0.00 |
| A5120 |
Skin barrier, wipe or swab |
87 |
81 |
$0.00 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
742 |
714 |
$0.00 |
| A6450 |
Lt compres band >=5"/yd |
25 |
25 |
$0.00 |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
88 |
82 |
$0.00 |
| A6257 |
Transparent film <= 16 sq in |
28 |
26 |
$0.00 |
| A6454 |
Self-adher band w>=3" <5"/yd |
73 |
68 |
$0.00 |
| A6449 |
Lt compres band >=3" <5"/yd |
41 |
41 |
$0.00 |
| S5100 |
Adult daycare services 15min |
24 |
12 |
$0.00 |