| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,845 |
1,489 |
$82K |
| 99213 |
|
1,276 |
1,084 |
$36K |
| 99203 |
|
239 |
194 |
$11K |
| 87804 |
|
1,153 |
511 |
$10K |
| 96372 |
|
419 |
229 |
$2K |
| 87635 |
|
56 |
53 |
$2K |
| 99202 |
|
52 |
45 |
$1K |
| 87637 |
|
12 |
12 |
$1K |
| 87880 |
|
84 |
79 |
$922.65 |
| 85025 |
|
42 |
41 |
$400.00 |
| 83036 |
|
43 |
39 |
$348.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
55 |
45 |
$174.07 |
| 94640 |
|
12 |
12 |
$86.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
50 |
40 |
$36.31 |
| 3074F |
|
265 |
253 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
13 |
13 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$0.00 |
| 36416 |
|
18 |
13 |
$0.00 |
| 3078F |
|
233 |
223 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
213 |
208 |
$0.00 |