| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
22,159 |
20,569 |
$522K |
| S9083 |
Urgent care center global |
8,444 |
7,961 |
$443K |
| 99203 |
|
8,333 |
8,274 |
$314K |
| 99215 |
Prolong outpt/office vis |
2,363 |
2,319 |
$116K |
| 99214 |
|
1,620 |
1,563 |
$46K |
| 96372 |
|
2,036 |
1,944 |
$5K |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$3K |
| 81002 |
|
1,410 |
1,367 |
$2K |
| 99204 |
|
52 |
52 |
$2K |
| 87880 |
|
671 |
668 |
$913.45 |
| 82962 |
|
821 |
806 |
$762.94 |
| 94640 |
|
305 |
295 |
$648.83 |
| J1885 |
Ketorolac tromethamine inj |
141 |
133 |
$423.70 |
| J7613 |
Albuterol non-comp unit |
192 |
189 |
$284.06 |
| G8427 |
Docrev cur meds by elig clin |
1,170 |
1,086 |
$260.57 |
| 87804 |
|
37 |
29 |
$169.38 |
| G9903 |
Pt scrn tbco id as non user |
454 |
418 |
$115.64 |
| 71046 |
|
40 |
38 |
$111.18 |
| 3072F |
|
498 |
480 |
$106.10 |
| 1125F |
|
706 |
663 |
$90.02 |
| J1100 |
Dexamethasone sodium phos |
288 |
277 |
$76.15 |
| 87426 |
|
15 |
15 |
$35.33 |
| G8950 |
Pre-htn or htn doc, f/u indc |
303 |
292 |
$32.27 |
| 83036 |
|
13 |
13 |
$19.77 |
| G8483 |
Flu imm no admin doc rea |
635 |
599 |
$13.78 |
| 3045F |
|
62 |
59 |
$10.57 |
| G8482 |
Flu immunize order/admin |
176 |
170 |
$3.21 |
| 3074F |
|
1,104 |
1,037 |
$0.03 |
| 1160F |
|
1,461 |
1,367 |
$0.03 |
| 3078F |
|
1,104 |
1,037 |
$0.03 |
| 1126F |
|
981 |
944 |
$0.02 |
| 3017F |
|
204 |
184 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
168 |
156 |
$0.00 |
| 1036F |
|
440 |
428 |
$0.00 |
| 3079F |
|
38 |
37 |
$0.00 |
| G8432 |
Dep scr not doc, rng |
38 |
37 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |
| 3075F |
|
38 |
37 |
$0.00 |
| A6448 |
Lt compres band <3"/yd |
14 |
14 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| 3046F |
|
419 |
400 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
558 |
523 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
132 |
122 |
$0.00 |
| G9900 |
Scrn mam perf rslts not doc |
15 |
14 |
$0.00 |