| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
23,433 |
19,529 |
$696K |
| 99214 |
|
12,632 |
10,524 |
$541K |
| J0696 |
Ceftriaxone sodium injection |
2,484 |
2,092 |
$83K |
| 96372 |
|
3,236 |
2,623 |
$57K |
| 99212 |
|
2,549 |
2,225 |
$49K |
| 99497 |
|
1,023 |
919 |
$42K |
| 99396 |
|
493 |
454 |
$35K |
| 99222 |
|
633 |
546 |
$28K |
| 93306 |
|
895 |
789 |
$26K |
| 99232 |
|
956 |
427 |
$20K |
| 99239 |
|
466 |
423 |
$19K |
| 99203 |
|
181 |
149 |
$10K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
746 |
720 |
$10K |
| 99291 |
|
85 |
33 |
$8K |
| 93010 |
|
1,048 |
719 |
$6K |
| 99441 |
|
256 |
222 |
$5K |
| 99406 |
|
663 |
570 |
$4K |
| J2930 |
Methylprednisolone injection |
697 |
554 |
$4K |
| 87804 |
|
445 |
117 |
$4K |
| 36415 |
|
1,087 |
905 |
$4K |
| 90686 |
|
201 |
187 |
$3K |
| 90792 |
|
38 |
30 |
$3K |
| G2025 |
Dis site tele svcs rhc/fqhc |
116 |
86 |
$2K |
| 99204 |
|
25 |
24 |
$2K |
| 90471 |
|
140 |
137 |
$2K |
| 99443 |
|
29 |
28 |
$2K |
| 87880 |
|
167 |
122 |
$2K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
527 |
414 |
$2K |
| 99442 |
|
60 |
55 |
$1K |
| 93000 |
|
108 |
66 |
$1K |
| 99407 |
|
47 |
29 |
$1K |
| J1100 |
Dexamethasone sodium phos |
939 |
838 |
$1K |
| 99394 |
|
14 |
13 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$900.63 |
| 90688 |
|
58 |
56 |
$811.72 |
| 99238 |
|
13 |
13 |
$501.14 |
| J1885 |
Ketorolac tromethamine inj |
123 |
107 |
$337.37 |
| 87426 |
|
30 |
17 |
$318.41 |
| 90460 |
|
26 |
25 |
$301.88 |
| G2012 |
Brief check in by md/qhp |
32 |
28 |
$297.75 |
| J3301 |
Triamcinolone acet inj nos |
26 |
24 |
$128.20 |
| 3078F |
|
17,314 |
14,627 |
$64.86 |
| 3008F |
|
27,075 |
21,965 |
$62.02 |
| 81002 |
|
88 |
61 |
$57.88 |
| 1126F |
|
12,003 |
10,252 |
$55.63 |
| 3074F |
|
14,619 |
12,454 |
$53.22 |
| 1125F |
|
10,746 |
9,067 |
$52.19 |
| 3288F |
|
13,322 |
11,146 |
$38.21 |
| J3420 |
Vitamin b12 injection |
19 |
13 |
$29.86 |
| 3079F |
|
4,210 |
3,720 |
$19.76 |
| 3077F |
|
3,656 |
3,074 |
$17.53 |
| 3725F |
|
9,338 |
8,028 |
$17.23 |
| 3075F |
|
4,010 |
3,541 |
$17.13 |
| T1015 |
Clinic service |
270 |
261 |
$16.39 |
| 1160F |
|
24,352 |
19,635 |
$8.13 |
| 1159F |
|
21,051 |
16,869 |
$7.07 |
| 3080F |
|
766 |
650 |
$3.78 |
| 1036F |
|
14,628 |
11,593 |
$1.05 |
| 1034F |
|
8,173 |
6,360 |
$0.00 |
| 1035F |
|
671 |
499 |
$0.00 |
| G0439 |
Ppps, subseq visit |
13 |
12 |
$0.00 |
| G0438 |
Ppps, initial visit |
14 |
13 |
$0.00 |