| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
17,572 |
14,534 |
$1.09M |
| 00170 |
|
4,236 |
4,094 |
$867K |
| 99213 |
|
16,412 |
14,173 |
$567K |
| 99203 |
|
5,794 |
5,427 |
$293K |
| J2505 |
Injection, pegfilgrastim 6mg |
58 |
43 |
$269K |
| 99232 |
|
3,337 |
1,074 |
$218K |
| 96413 |
|
1,703 |
1,017 |
$128K |
| 95004 |
|
778 |
639 |
$120K |
| 99204 |
|
1,577 |
1,493 |
$102K |
| 01967 |
|
154 |
144 |
$77K |
| 95165 |
|
216 |
194 |
$71K |
| 95117 |
|
7,795 |
3,641 |
$62K |
| 99222 |
|
819 |
669 |
$57K |
| 96372 |
|
3,510 |
2,268 |
$52K |
| 96367 |
|
1,508 |
824 |
$41K |
| G0101 |
Ca screen;pelvic/breast exam |
1,357 |
1,257 |
$37K |
| 01936 |
|
488 |
379 |
$34K |
| 99215 |
Prolong outpt/office vis |
889 |
579 |
$32K |
| 00731 |
|
342 |
302 |
$32K |
| 01992 |
|
364 |
308 |
$31K |
| J9217 |
Leuprolide acetate suspnsion |
62 |
37 |
$22K |
| 85025 |
|
5,545 |
3,591 |
$21K |
| 96365 |
|
446 |
254 |
$20K |
| Q0091 |
Obtaining screen pap smear |
1,148 |
1,064 |
$19K |
| 00813 |
|
172 |
156 |
$18K |
| 99254 |
|
168 |
141 |
$15K |
| 99221 |
|
281 |
243 |
$14K |
| J2469 |
Palonosetron hcl |
146 |
97 |
$13K |
| 94060 |
|
287 |
265 |
$11K |
| 99231 |
|
405 |
139 |
$10K |
| 96523 |
|
566 |
449 |
$10K |
| 99212 |
|
699 |
665 |
$9K |
| 51798 |
|
2,161 |
2,082 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
73 |
25 |
$8K |
| 99202 |
|
379 |
366 |
$6K |
| 00811 |
|
69 |
56 |
$6K |
| 81002 |
|
16,252 |
15,380 |
$5K |
| 73030 |
|
186 |
155 |
$4K |
| 99201 |
|
109 |
104 |
$4K |
| 94010 |
|
128 |
123 |
$3K |
| 96375 |
|
224 |
131 |
$3K |
| 20610 |
|
71 |
52 |
$3K |
| 01938 |
|
40 |
32 |
$3K |
| 77427 |
|
38 |
12 |
$3K |
| J1756 |
Iron sucrose injection |
41 |
26 |
$2K |
| 81025 |
|
335 |
301 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,306 |
682 |
$2K |
| 76942 |
|
69 |
63 |
$2K |
| 73564 |
|
27 |
27 |
$1K |
| 77336 |
|
38 |
12 |
$1K |
| 59025 |
|
51 |
43 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$1K |
| 99395 |
|
56 |
54 |
$1K |
| 64488 |
|
12 |
12 |
$932.85 |
| 73565 |
|
30 |
26 |
$890.67 |
| 73610 |
|
30 |
24 |
$694.40 |
| 52000 |
|
13 |
12 |
$650.92 |
| 94729 |
|
31 |
28 |
$599.71 |
| 94726 |
|
28 |
25 |
$597.45 |
| 73560 |
|
17 |
13 |
$407.64 |
| 99385 |
|
42 |
37 |
$387.19 |
| 90471 |
|
21 |
21 |
$357.58 |
| 99211 |
|
31 |
27 |
$187.53 |
| 96402 |
|
12 |
12 |
$176.09 |
| J1040 |
Methylprednisolone 80 mg inj |
17 |
12 |
$153.17 |
| J3301 |
Triamcinolone acet inj nos |
14 |
13 |
$151.11 |
| 90686 |
|
15 |
15 |
$90.90 |
| 94375 |
|
15 |
14 |
$77.67 |
| J3420 |
Vitamin b12 injection |
332 |
185 |
$58.41 |
| 36415 |
|
118 |
89 |
$44.52 |
| 99443 |
|
62 |
48 |
$43.16 |
| G2012 |
Brief check in by md/qhp |
16 |
13 |
$20.93 |
| A4217 |
Sterile water/saline, 500 ml |
27 |
27 |
$2.66 |
| G9644 |
No smok b/4 anes day of surg |
20 |
13 |
$0.00 |
| 0502F |
|
792 |
645 |
$0.00 |
| G9771 |
Anes end, 1 temp >35.5(95.9) |
283 |
191 |
$0.00 |
| G9655 |
Toc tool incl key elem |
316 |
209 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
317 |
210 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
88 |
72 |
$0.00 |
| 99396 |
|
12 |
12 |
$0.00 |
| 99024 |
|
810 |
702 |
$0.00 |
| G9775 |
Recd 2 anti-emet pre/intraop |
89 |
50 |
$0.00 |
| 6030F |
|
20 |
16 |
$0.00 |
| 99386 |
|
14 |
14 |
$0.00 |
| 99441 |
|
17 |
13 |
$0.00 |