| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
|
14,847 |
14,750 |
$1.02M |
| 87636 |
|
6,658 |
6,469 |
$910K |
| 99214 |
|
19,827 |
18,261 |
$738K |
| 87635 |
|
1,989 |
1,885 |
$101K |
| 99203 |
|
1,717 |
1,715 |
$99K |
| 96372 |
|
5,105 |
4,478 |
$94K |
| 71046 |
|
3,489 |
3,391 |
$92K |
| 99205 |
Prolong outpt/office vis |
1,085 |
1,084 |
$87K |
| 99215 |
Prolong outpt/office vis |
1,409 |
1,363 |
$79K |
| 99213 |
|
2,557 |
2,433 |
$62K |
| 99202 |
|
1,377 |
1,369 |
$48K |
| 96127 |
|
7,875 |
7,336 |
$36K |
| 87880 |
|
5,159 |
5,079 |
$35K |
| 87804 |
|
3,910 |
1,955 |
$34K |
| 99212 |
|
1,610 |
1,460 |
$29K |
| 99000 |
|
7,100 |
6,648 |
$25K |
| J8499 |
Oral prescrip drug non chemo |
1,355 |
1,014 |
$17K |
| 73630 |
|
694 |
667 |
$16K |
| 93000 |
|
580 |
573 |
$16K |
| 94640 |
|
1,134 |
1,080 |
$13K |
| 73610 |
|
515 |
498 |
$12K |
| 81003 |
|
6,078 |
5,895 |
$12K |
| 87426 |
|
294 |
241 |
$10K |
| 81025 |
|
2,409 |
2,364 |
$7K |
| 73130 |
|
205 |
197 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
1,910 |
1,861 |
$4K |
| S9088 |
Services provided in urgent |
590 |
564 |
$3K |
| 73110 |
|
102 |
102 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
922 |
864 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,883 |
1,854 |
$2K |
| E0114 |
Crutch underarm pair no wood |
51 |
51 |
$2K |
| 99051 |
|
278 |
260 |
$1K |
| 87086 |
|
167 |
163 |
$1K |
| 73562 |
|
53 |
50 |
$1K |
| 87081 |
|
195 |
195 |
$1K |
| 72100 |
|
26 |
26 |
$780.04 |
| 12001 |
|
12 |
12 |
$692.90 |
| 80053 |
|
66 |
66 |
$606.54 |
| 73030 |
|
12 |
12 |
$298.41 |
| 73560 |
|
14 |
14 |
$244.79 |
| 69209 |
|
13 |
13 |
$177.08 |
| 73140 |
|
12 |
12 |
$170.21 |
| J7620 |
Albuterol ipratrop non-comp |
666 |
629 |
$137.38 |
| J2001 |
Lidocaine injection |
101 |
99 |
$44.25 |
| 82947 |
|
13 |
13 |
$39.24 |
| J7644 |
Ipratropium bromide non-comp |
172 |
167 |
$36.51 |
| J7613 |
Albuterol non-comp unit |
210 |
205 |
$23.67 |
| J7510 |
Prednisolone oral per 5 mg |
28 |
28 |
$22.42 |
| J2405 |
Ondansetron hcl injection |
14 |
14 |
$1.12 |
| Q0091 |
Obtaining screen pap smear |
41 |
41 |
$0.00 |