| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
5,317 |
4,663 |
$249K |
| 99214 |
|
7,439 |
5,972 |
$241K |
| 96372 |
|
3,571 |
2,592 |
$31K |
| 93000 |
|
908 |
745 |
$6K |
| 82962 |
|
3,745 |
2,957 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,956 |
1,529 |
$2K |
| 36416 |
|
1,536 |
1,301 |
$2K |
| 94640 |
|
240 |
158 |
$1K |
| 81002 |
|
1,204 |
994 |
$925.44 |
| 20610 |
|
61 |
39 |
$890.38 |
| 99212 |
|
47 |
39 |
$867.78 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
70 |
70 |
$830.86 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
73 |
64 |
$816.09 |
| 87426 |
|
102 |
72 |
$810.92 |
| 99203 |
|
16 |
15 |
$791.28 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
30 |
29 |
$713.30 |
| 87804 |
|
115 |
51 |
$514.10 |
| 90688 |
|
90 |
72 |
$264.78 |
| 90471 |
|
20 |
13 |
$238.73 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
34 |
33 |
$202.38 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
33 |
32 |
$168.08 |
| 90686 |
|
20 |
18 |
$159.75 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
62 |
45 |
$154.57 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
57 |
42 |
$137.39 |
| 90674 |
|
35 |
28 |
$120.72 |
| 97010 |
|
60 |
48 |
$113.28 |
| 99442 |
|
13 |
13 |
$99.68 |
| 99211 |
|
12 |
12 |
$98.40 |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
71 |
46 |
$65.54 |
| 83014 |
|
30 |
26 |
$59.98 |
| 0013A |
|
14 |
14 |
$37.82 |
| 94760 |
|
55 |
43 |
$37.32 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
81 |
63 |
$27.82 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
129 |
83 |
$6.62 |
| G0008 |
Administration of influenza virus vaccine |
98 |
86 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
122 |
107 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
70 |
52 |
$0.00 |
| 2000F |
|
372 |
331 |
$0.00 |
| 2010F |
|
426 |
393 |
$0.00 |
| 99000 |
|
223 |
169 |
$0.00 |
| 3008F |
|
508 |
468 |
$0.00 |
| 3074F |
|
195 |
183 |
$0.00 |
| 3079F |
|
169 |
160 |
$0.00 |
| 3075F |
|
51 |
45 |
$0.00 |
| 3044F |
|
45 |
44 |
$0.00 |
| 1125F |
|
53 |
52 |
$0.00 |
| 3080F |
|
14 |
13 |
$0.00 |
| 3011F |
|
14 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
33 |
32 |
$0.00 |
| 91306 |
|
14 |
14 |
$0.00 |
| 3077F |
|
48 |
45 |
$0.00 |
| 3078F |
|
123 |
117 |
$0.00 |