| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
85,105 |
58,528 |
$2.16M |
| 87502 |
|
3,276 |
2,957 |
$237K |
| G0467 |
Fqhc visit, estab pt |
14,038 |
6,011 |
$123K |
| 87651 |
|
1,597 |
1,467 |
$42K |
| J0696 |
Ceftriaxone sodium injection |
1,667 |
1,367 |
$34K |
| 80053 |
|
5,476 |
4,501 |
$29K |
| 85025 |
|
6,267 |
5,144 |
$27K |
| 87635 |
|
508 |
463 |
$21K |
| 80061 |
|
1,737 |
1,501 |
$11K |
| J1030 |
Methylprednisolone 40 mg inj |
1,948 |
1,431 |
$8K |
| J1040 |
Methylprednisolone 80 mg inj |
950 |
667 |
$5K |
| 90460 |
|
247 |
228 |
$5K |
| 83036 |
|
1,069 |
898 |
$4K |
| 71046 |
|
527 |
418 |
$4K |
| 82570 |
|
1,242 |
1,040 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
1,209 |
883 |
$3K |
| 99212 |
|
127 |
95 |
$3K |
| 36415 |
|
1,992 |
1,649 |
$2K |
| 93000 |
|
151 |
139 |
$2K |
| 95117 |
|
226 |
89 |
$2K |
| 0011A |
|
58 |
57 |
$2K |
| J1010 |
Inj, methylpred acetate 1 mg |
693 |
581 |
$2K |
| 0012A |
|
51 |
50 |
$2K |
| 99307 |
|
94 |
86 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
381 |
325 |
$2K |
| 96372 |
|
110 |
89 |
$2K |
| J1020 |
Methylprednisolone 20 mg inj |
790 |
548 |
$1K |
| J1100 |
Dexamethasone sodium phos |
2,305 |
1,761 |
$1K |
| 99393 |
|
31 |
24 |
$1K |
| 72110 |
|
52 |
45 |
$913.82 |
| 87801 |
|
15 |
15 |
$895.05 |
| J3420 |
Vitamin b12 injection |
1,135 |
894 |
$823.11 |
| 81003 |
|
1,279 |
1,069 |
$812.20 |
| 99394 |
|
15 |
13 |
$800.79 |
| 99203 |
|
14 |
13 |
$711.36 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
39 |
36 |
$448.40 |
| 81025 |
|
56 |
54 |
$380.24 |
| 87808 |
|
38 |
32 |
$363.08 |
| 90688 |
|
42 |
31 |
$322.01 |
| 87905 |
|
38 |
32 |
$290.16 |
| 90471 |
|
19 |
14 |
$152.10 |
| 87220 |
|
52 |
45 |
$148.59 |
| 74018 |
|
13 |
12 |
$110.19 |
| 85018 |
|
34 |
25 |
$99.61 |
| 82550 |
|
17 |
15 |
$60.43 |
| 93005 |
|
15 |
12 |
$17.28 |
| 82947 |
|
16 |
14 |
$4.01 |
| 91301 |
|
173 |
163 |
$0.58 |