| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99366 |
|
29,612 |
28,105 |
$5.17M |
| 99213 |
|
49,072 |
44,004 |
$3.44M |
| 99214 |
|
52,343 |
47,451 |
$3.27M |
| 99490 |
Ccm add 20min |
31,520 |
26,357 |
$2.33M |
| 99496 |
|
3,844 |
3,809 |
$1.06M |
| 99203 |
|
9,420 |
9,404 |
$707K |
| 99368 |
|
2,476 |
2,440 |
$433K |
| 99499 |
|
3,051 |
2,311 |
$343K |
| 94799 |
|
2,784 |
2,323 |
$209K |
| 99204 |
|
2,427 |
2,421 |
$204K |
| 99441 |
|
1,748 |
1,659 |
$137K |
| 99396 |
|
852 |
851 |
$109K |
| 99495 |
|
472 |
471 |
$96K |
| 90791 |
|
526 |
516 |
$84K |
| 97140 |
|
1,283 |
314 |
$71K |
| H0049 |
Alcohol/drug screening |
7,000 |
6,779 |
$69K |
| 20553 |
|
955 |
237 |
$64K |
| 11043 |
|
328 |
185 |
$58K |
| 96372 |
|
9,285 |
8,637 |
$56K |
| 90792 |
|
354 |
345 |
$52K |
| 76700 |
|
919 |
877 |
$50K |
| G8510 |
Scr dep neg, no plan reqd |
4,558 |
4,426 |
$45K |
| 97597 |
|
718 |
420 |
$33K |
| 99212 |
|
1,236 |
354 |
$29K |
| G8431 |
Pos clin depres scrn f/u doc |
1,632 |
1,595 |
$28K |
| 90834 |
|
265 |
200 |
$27K |
| 96127 |
|
6,786 |
6,589 |
$25K |
| 99223 |
Prolong inpt eval add15 m |
334 |
329 |
$25K |
| 71046 |
|
1,282 |
1,234 |
$21K |
| 99215 |
Prolong outpt/office vis |
251 |
227 |
$20K |
| 99395 |
|
134 |
133 |
$17K |
| 99442 |
|
203 |
200 |
$16K |
| 76770 |
|
320 |
286 |
$15K |
| 11042 |
|
173 |
109 |
$15K |
| 99243 |
|
150 |
144 |
$13K |
| 99443 |
|
155 |
153 |
$12K |
| J3301 |
Triamcinolone acet inj nos |
2,832 |
2,704 |
$11K |
| 93000 |
|
494 |
472 |
$9K |
| 90756 |
|
232 |
232 |
$7K |
| 90837 |
|
116 |
93 |
$7K |
| 90832 |
|
157 |
134 |
$6K |
| 99406 |
|
1,550 |
1,520 |
$6K |
| 94060 |
|
59 |
58 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
2,847 |
2,742 |
$5K |
| G0442 |
Annual alcohol screen 15 min |
251 |
237 |
$5K |
| 82947 |
|
2,915 |
2,725 |
$5K |
| 0004A |
|
117 |
117 |
$5K |
| 87811 |
|
4,954 |
4,716 |
$5K |
| 82962 |
|
2,865 |
2,628 |
$4K |
| 76536 |
|
109 |
95 |
$4K |
| J3420 |
Vitamin b12 injection |
1,527 |
1,494 |
$4K |
| 72100 |
|
199 |
196 |
$4K |
| 73562 |
|
210 |
176 |
$4K |
| H0050 |
Alcohol/drug service 15 min |
174 |
173 |
$3K |
| 97032 |
|
240 |
55 |
$3K |
| 97034 |
|
241 |
55 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
3,054 |
2,808 |
$2K |
| 99385 |
|
15 |
15 |
$2K |
| 76856 |
|
38 |
37 |
$2K |
| 90688 |
|
103 |
103 |
$2K |
| 99386 |
|
12 |
12 |
$2K |
| 81002 |
|
2,824 |
2,660 |
$1K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 0002A |
|
26 |
26 |
$1K |
| 0001A |
|
27 |
27 |
$1K |
| 73030 |
|
39 |
38 |
$862.28 |
| 94640 |
|
348 |
303 |
$840.27 |
| 72110 |
|
12 |
12 |
$506.44 |
| 72114 |
|
14 |
14 |
$465.07 |
| 73630 |
|
29 |
27 |
$429.43 |
| 81025 |
|
748 |
733 |
$301.43 |
| 73560 |
|
15 |
12 |
$179.73 |
| 71045 |
|
15 |
15 |
$152.14 |
| 1036F |
|
4,647 |
4,465 |
$132.76 |
| 87804 |
|
81 |
81 |
$33.00 |
| 3074F |
|
4,257 |
4,081 |
$24.23 |
| 3078F |
|
3,904 |
3,741 |
$24.23 |
| J7613 |
Albuterol non-comp unit |
172 |
139 |
$2.88 |
| 3079F |
|
2,227 |
2,175 |
$0.00 |
| 3080F |
|
973 |
961 |
$0.00 |
| 3075F |
|
1,043 |
1,028 |
$0.00 |
| 90471 |
|
28 |
28 |
$0.00 |
| G0396 |
Alcohol/subs interv 15-30mn |
22 |
20 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
82 |
77 |
$0.00 |
| 3044F |
|
64 |
57 |
$0.00 |
| G0008 |
Admin influenza virus vac |
29 |
29 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
12 |
12 |
$0.00 |
| 3077F |
|
1,708 |
1,677 |
$0.00 |
| 99401 |
|
55 |
55 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
40 |
39 |
$0.00 |
| J2930 |
Methylprednisolone injection |
15 |
15 |
$0.00 |
| 87880 |
|
12 |
12 |
$0.00 |
| 80305 |
|
17 |
17 |
$0.00 |
| 94729 |
|
13 |
13 |
$0.00 |