| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
4,753 |
3,921 |
$162K |
| 99213 |
|
3,851 |
3,152 |
$100K |
| 96413 |
|
2,473 |
1,322 |
$86K |
| 96375 |
|
1,521 |
740 |
$25K |
| 99442 |
|
234 |
211 |
$15K |
| 99443 |
|
55 |
54 |
$4K |
| 99204 |
|
100 |
99 |
$4K |
| 99497 |
|
594 |
589 |
$4K |
| 0012A |
|
92 |
92 |
$4K |
| 96415 |
|
317 |
208 |
$3K |
| 96372 |
|
789 |
598 |
$3K |
| 99212 |
|
112 |
87 |
$2K |
| 96417 |
|
98 |
72 |
$2K |
| 96127 |
|
657 |
650 |
$2K |
| 85025 |
|
3,086 |
2,059 |
$2K |
| 0011A |
|
47 |
47 |
$2K |
| 90678 |
|
45 |
44 |
$1K |
| J1626 |
Granisetron hcl injection |
1,300 |
617 |
$905.05 |
| 36415 |
|
4,283 |
3,185 |
$705.49 |
| 90471 |
|
66 |
64 |
$403.37 |
| J2765 |
Metoclopramide hcl injection |
1,380 |
656 |
$337.15 |
| J1100 |
Dexamethasone sodium phos |
546 |
355 |
$215.34 |
| J7060 |
5% dextrose/water |
767 |
406 |
$192.81 |
| J7050 |
Normal saline solution infus |
1,489 |
819 |
$179.84 |
| 99490 |
Ccm add 20min |
43 |
43 |
$111.47 |
| J1200 |
Diphenhydramine hcl injectio |
510 |
345 |
$96.47 |
| 90694 |
|
37 |
37 |
$96.38 |
| 3074F |
|
4,751 |
3,441 |
$87.50 |
| 3078F |
|
5,717 |
4,105 |
$85.00 |
| 99072 |
|
206 |
165 |
$80.00 |
| 99401 |
|
14 |
14 |
$68.19 |
| G8754 |
Dias bp less 90 |
1,981 |
1,642 |
$62.00 |
| G8752 |
Sys bp less 140 |
1,685 |
1,396 |
$58.00 |
| S0028 |
Injection, famotidine, 20 mg |
610 |
307 |
$44.64 |
| 3008F |
|
4,443 |
4,107 |
$15.00 |
| G8753 |
Sys bp > or = 140 |
266 |
244 |
$6.00 |
| 81002 |
|
13 |
13 |
$5.69 |
| G8420 |
Calc bmi norm parameters |
1,426 |
1,339 |
$5.00 |
| 2000F |
|
5,238 |
3,556 |
$5.00 |
| 36416 |
|
662 |
561 |
$0.01 |
| 3725F |
|
14 |
14 |
$0.00 |
| G2211 |
Complex e/m visit add on |
13 |
13 |
$0.00 |
| 3077F |
|
1,622 |
1,396 |
$0.00 |
| G0444 |
Depression screen annual |
498 |
496 |
$0.00 |
| 1159F |
|
1,740 |
1,315 |
$0.00 |
| 1158F |
|
102 |
102 |
$0.00 |
| 99051 |
|
53 |
53 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
22 |
21 |
$0.00 |
| 3051F |
|
14 |
12 |
$0.00 |
| G8482 |
Flu immunize order/admin |
26 |
26 |
$0.00 |
| G9622 |
No unheal etoh user |
29 |
29 |
$0.00 |
| G8476 |
Bp sys <140 and dias <90 |
14 |
14 |
$0.00 |
| 1160F |
|
13 |
13 |
$0.00 |
| G8421 |
Bmi not calculated |
14 |
14 |
$0.00 |
| 3016F |
|
28 |
28 |
$0.00 |
| 3075F |
|
1,383 |
1,233 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
49 |
49 |
$0.00 |
| 3079F |
|
1,639 |
1,417 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
597 |
566 |
$0.00 |
| 3080F |
|
164 |
145 |
$0.00 |
| 1157F |
|
98 |
98 |
$0.00 |
| 3044F |
|
224 |
185 |
$0.00 |
| 1000F |
|
41 |
38 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
79 |
79 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| 4037F |
|
31 |
31 |
$0.00 |
| G0008 |
Admin influenza virus vac |
36 |
36 |
$0.00 |