| Code | Description | Claims | Beneficiaries | Total Paid |
| H0033 |
Oral medication administration, direct observation |
293 |
181 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
823 |
719 |
$44K |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
62 |
57 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
646 |
611 |
$28K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
86 |
69 |
$24K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
55 |
44 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
212 |
199 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
98 |
49 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
28 |
26 |
$119.61 |
| 87430 |
|
12 |
12 |
$104.69 |
| 90756 |
|
14 |
13 |
$92.08 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
40 |
$69.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
30 |
26 |
$7.35 |