| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
22,241 |
18,795 |
$984K |
| 99213 |
|
15,215 |
13,260 |
$441K |
| 99203 |
|
244 |
210 |
$12K |
| 87426 |
|
325 |
254 |
$10K |
| 90688 |
|
940 |
894 |
$8K |
| 90471 |
|
465 |
439 |
$6K |
| 99204 |
|
77 |
68 |
$6K |
| 87880 |
|
555 |
377 |
$4K |
| 87804 |
|
245 |
192 |
$4K |
| 81003 |
|
2,986 |
2,553 |
$4K |
| 96372 |
|
540 |
455 |
$2K |
| 99396 |
|
28 |
27 |
$2K |
| 71046 |
|
107 |
77 |
$1K |
| 99395 |
|
17 |
14 |
$941.98 |
| 99499 |
|
12 |
12 |
$108.00 |
| 93000 |
|
12 |
12 |
$104.56 |
| 84703 |
|
23 |
13 |
$89.64 |
| 94640 |
|
14 |
12 |
$85.88 |
| J0702 |
Betamethasone acet&sod phosp |
29 |
29 |
$27.54 |
| J1885 |
Ketorolac tromethamine inj |
68 |
61 |
$25.85 |
| J1100 |
Dexamethasone sodium phos |
14 |
13 |
$0.85 |
| G0008 |
Admin influenza virus vac |
431 |
372 |
$0.00 |
| 1000F |
|
53 |
51 |
$0.00 |
| G2197 |
Screen hlthy etoh use |
132 |
96 |
$0.00 |
| 1036F |
|
59 |
56 |
$0.00 |
| 3008F |
|
41 |
39 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
15 |
13 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
14 |
12 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
66 |
66 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |
| G9622 |
No unheal etoh user |
133 |
96 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
29 |
19 |
$0.00 |
| 1159F |
|
55 |
53 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
41 |
33 |
$0.00 |
| 1160F |
|
55 |
53 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
14 |
12 |
$0.00 |