| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
28,133 |
20,129 |
$797K |
| 99214 |
|
2,853 |
2,274 |
$93K |
| 96372 |
|
7,679 |
5,333 |
$77K |
| 99219 |
|
980 |
840 |
$55K |
| J0696 |
Ceftriaxone sodium injection |
2,553 |
2,016 |
$43K |
| 87502 |
|
515 |
454 |
$40K |
| 99212 |
|
2,267 |
1,674 |
$31K |
| 99217 |
|
914 |
793 |
$29K |
| 99222 |
|
463 |
400 |
$18K |
| 99225 |
|
610 |
524 |
$18K |
| 99238 |
|
605 |
515 |
$16K |
| 99232 |
|
697 |
299 |
$15K |
| 20552 |
|
740 |
562 |
$11K |
| 36415 |
|
3,042 |
2,553 |
$9K |
| 71045 |
|
814 |
704 |
$8K |
| 87651 |
|
182 |
171 |
$7K |
| 99218 |
|
336 |
273 |
$6K |
| 87426 |
|
264 |
223 |
$5K |
| 99394 |
|
38 |
35 |
$3K |
| 93000 |
|
249 |
219 |
$3K |
| 87811 |
|
72 |
67 |
$3K |
| 99393 |
|
33 |
31 |
$2K |
| J1100 |
Dexamethasone sodium phos |
4,661 |
3,501 |
$2K |
| 87635 |
|
33 |
26 |
$1K |
| 90686 |
|
102 |
79 |
$1K |
| 99396 |
|
12 |
12 |
$1K |
| 99211 |
|
107 |
92 |
$1K |
| 99308 |
|
183 |
167 |
$1K |
| 20550 |
|
78 |
45 |
$987.63 |
| 90674 |
|
74 |
69 |
$911.47 |
| J1885 |
Ketorolac tromethamine inj |
798 |
638 |
$855.91 |
| 99392 |
|
12 |
12 |
$785.80 |
| J0290 |
Ampicillin 500 mg inj |
760 |
621 |
$610.57 |
| G0008 |
Admin influenza virus vac |
120 |
110 |
$287.39 |
| 99422 |
|
21 |
12 |
$286.44 |
| 90471 |
|
12 |
12 |
$195.00 |
| J1200 |
Diphenhydramine hcl injectio |
265 |
220 |
$133.83 |
| G2023 |
Specimen collect covid-19 |
18 |
16 |
$113.84 |
| G8427 |
Docrev cur meds by elig clin |
13,201 |
9,197 |
$61.86 |
| 81003 |
|
153 |
128 |
$57.91 |
| 3079F |
|
36 |
30 |
$0.25 |
| 3078F |
|
48 |
41 |
$0.25 |
| 3074F |
|
45 |
34 |
$0.24 |
| 1111F |
|
110 |
91 |
$0.13 |
| 3075F |
|
20 |
17 |
$0.13 |
| 3077F |
|
13 |
13 |
$0.12 |
| G8420 |
Calc bmi norm parameters |
1,913 |
1,444 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
140 |
118 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
6,738 |
4,964 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
64 |
55 |
$0.00 |
| G0444 |
Depression screen annual |
25 |
24 |
$0.00 |