| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
6,810 |
6,602 |
$402K |
| 99214 |
|
2,365 |
2,255 |
$202K |
| 99203 |
|
1,168 |
1,168 |
$101K |
| 87804 |
|
1,735 |
1,725 |
$48K |
| 87880 |
|
2,987 |
2,972 |
$41K |
| 87081 |
|
2,295 |
2,281 |
$15K |
| 99051 |
|
2,139 |
2,122 |
$14K |
| 99204 |
|
89 |
88 |
$12K |
| 87502 |
|
139 |
139 |
$12K |
| 85025 |
|
1,402 |
1,344 |
$11K |
| 96372 |
|
216 |
199 |
$4K |
| 94640 |
|
167 |
163 |
$2K |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
124 |
124 |
$2K |
| 71046 |
|
42 |
42 |
$1K |
| 86756 |
|
79 |
78 |
$1K |
| 99212 |
|
29 |
29 |
$1K |
| 90471 |
|
36 |
36 |
$642.00 |
| 81015 |
|
177 |
176 |
$544.21 |
| 80053 |
|
27 |
27 |
$268.65 |
| A7015 |
Aerosol mask, used with dme nebulizer |
112 |
112 |
$154.29 |
| 82565 |
|
14 |
14 |
$67.89 |
| 84520 |
|
14 |
14 |
$52.39 |
| 82947 |
|
14 |
14 |
$52.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$8.50 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
62 |
61 |
$3.78 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
12 |
12 |
$1.56 |