| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
4,051 |
3,817 |
$409K |
| 99204 |
|
191 |
191 |
$37K |
| 62323 |
|
12 |
12 |
$4K |
| 64484 |
|
19 |
12 |
$4K |
| 64483 |
|
19 |
12 |
$4K |
| 77002 |
|
40 |
31 |
$3K |
| J1010 |
Inj, methylpred acetate 1 mg |
120 |
117 |
$2K |
| 20610 |
|
19 |
12 |
$1K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
576 |
544 |
$685.10 |
| J1030 |
Methylprednisolone 40 mg inj |
38 |
38 |
$489.10 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
25 |
20 |
$9.48 |
| G8783 |
Bp scrn perf rec interval |
516 |
485 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
974 |
906 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
73 |
68 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
360 |
336 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
141 |
130 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
609 |
569 |
$0.00 |
| 1123F |
|
149 |
138 |
$0.00 |
| 1036F |
|
13 |
12 |
$0.00 |