| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
11,702 |
11,111 |
$565K |
| 99213 |
|
8,211 |
7,972 |
$435K |
| 99233 |
Prolong inpt eval add15 m |
4,906 |
2,009 |
$209K |
| 99203 |
|
1,942 |
1,860 |
$135K |
| 99223 |
Prolong inpt eval add15 m |
1,279 |
1,230 |
$119K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,193 |
1,141 |
$83K |
| 99239 |
|
732 |
709 |
$42K |
| 99232 |
|
1,128 |
670 |
$41K |
| 99204 |
|
324 |
313 |
$28K |
| 93010 |
|
8,066 |
6,529 |
$23K |
| E0601 |
Cont airway pressure device |
111 |
111 |
$18K |
| A7038 |
Pos airway pressure filter |
1,388 |
1,384 |
$13K |
| 99291 |
|
115 |
50 |
$10K |
| 87635 |
|
175 |
172 |
$8K |
| 99215 |
Prolong outpt/office vis |
150 |
135 |
$6K |
| A4604 |
Tubing with heating element |
81 |
81 |
$5K |
| 97110 |
|
175 |
89 |
$4K |
| A7034 |
Nasal application device |
31 |
31 |
$3K |
| 87804 |
|
226 |
111 |
$3K |
| 93000 |
|
623 |
594 |
$3K |
| A7035 |
Pos airway press headgear |
68 |
68 |
$3K |
| 93306 |
|
81 |
79 |
$2K |
| 99212 |
|
410 |
350 |
$2K |
| 36415 |
|
387 |
363 |
$2K |
| 99202 |
|
28 |
26 |
$2K |
| 90686 |
|
83 |
83 |
$1K |
| 97530 |
|
53 |
38 |
$1K |
| 90471 |
|
167 |
157 |
$1K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| A7046 |
Repl water chamber, pap dev |
68 |
68 |
$975.18 |
| 99220 |
|
14 |
14 |
$918.49 |
| 64615 |
|
13 |
13 |
$866.41 |
| 99222 |
|
12 |
12 |
$835.93 |
| A7033 |
Replacement nasal pillows |
31 |
31 |
$646.40 |
| 76815 |
|
12 |
12 |
$547.00 |
| 87880 |
|
37 |
37 |
$524.28 |
| 94660 |
|
14 |
13 |
$335.43 |
| 99231 |
|
15 |
12 |
$334.40 |
| U0005 |
Infec agen detec ampli probe |
90 |
89 |
$150.00 |
| 95012 |
|
12 |
12 |
$102.18 |
| 99211 |
|
21 |
12 |
$56.64 |
| 81003 |
|
28 |
27 |
$46.10 |