| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
4,518 |
4,031 |
$93K |
| 99214 |
|
1,951 |
1,711 |
$56K |
| 64493 |
|
28 |
24 |
$2K |
| 96120 |
|
31 |
29 |
$846.39 |
| 64495 |
|
28 |
24 |
$748.73 |
| 64494 |
|
28 |
24 |
$743.15 |
| 99442 |
|
16 |
15 |
$154.88 |
| G0396 |
Alcohol/subs interv 15-30mn |
13 |
13 |
$70.08 |
| 96103 |
|
32 |
25 |
$59.80 |
| J1040 |
Methylprednisolone 80 mg inj |
13 |
12 |
$26.64 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
32 |
30 |
$5.38 |
| J1100 |
Dexamethasone sodium phos |
12 |
12 |
$2.76 |
| G8420 |
Calc bmi norm parameters |
42 |
42 |
$0.00 |
| H0049 |
Alcohol/drug screening |
19 |
12 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
25 |
25 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
103 |
102 |
$0.00 |
| 4004F |
|
33 |
33 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
51 |
51 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
36 |
35 |
$0.00 |
| G0444 |
Depression screen annual |
30 |
23 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
23 |
23 |
$0.00 |