| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
88,811 |
65,567 |
$2.51M |
| 96372 |
|
9,097 |
7,034 |
$165K |
| 90460 |
|
2,305 |
2,186 |
$64K |
| 99214 |
|
1,652 |
1,348 |
$60K |
| J0696 |
Ceftriaxone sodium injection |
1,807 |
1,459 |
$49K |
| 99212 |
|
1,052 |
907 |
$25K |
| 99391 |
|
286 |
268 |
$18K |
| 99307 |
|
557 |
556 |
$15K |
| 99203 |
|
228 |
204 |
$15K |
| 99392 |
|
191 |
185 |
$14K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
850 |
787 |
$10K |
| G2025 |
Dis site tele svcs rhc/fqhc |
689 |
501 |
$9K |
| 95117 |
|
637 |
175 |
$7K |
| 99393 |
|
95 |
93 |
$7K |
| 99394 |
|
86 |
84 |
$6K |
| 90471 |
|
481 |
448 |
$6K |
| 90688 |
|
634 |
607 |
$5K |
| J1040 |
Methylprednisolone 80 mg inj |
566 |
478 |
$5K |
| J1020 |
Methylprednisolone 20 mg inj |
1,549 |
1,104 |
$5K |
| J1030 |
Methylprednisolone 40 mg inj |
1,023 |
868 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
1,290 |
1,057 |
$4K |
| 71046 |
|
413 |
318 |
$3K |
| 99204 |
|
23 |
23 |
$2K |
| 90756 |
|
157 |
146 |
$2K |
| J1100 |
Dexamethasone sodium phos |
2,302 |
1,969 |
$2K |
| 0031A |
|
33 |
32 |
$1K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
177 |
150 |
$889.32 |
| J3420 |
Vitamin b12 injection |
394 |
315 |
$661.08 |
| 90633 |
|
571 |
551 |
$581.96 |
| 90670 |
|
262 |
255 |
$564.13 |
| 90461 |
|
16 |
16 |
$548.80 |
| 99211 |
|
40 |
40 |
$530.80 |
| 99318 |
|
17 |
17 |
$408.00 |
| 90734 |
|
47 |
45 |
$268.12 |
| 93000 |
|
14 |
14 |
$242.67 |
| 90680 |
|
38 |
36 |
$150.40 |
| 90651 |
|
63 |
63 |
$128.80 |
| 90698 |
|
17 |
17 |
$73.60 |
| 90723 |
|
16 |
15 |
$70.72 |
| J3301 |
Triamcinolone acet inj nos |
15 |
13 |
$39.62 |
| 90648 |
|
86 |
83 |
$26.21 |
| 90710 |
|
13 |
13 |
$0.00 |
| 91303 |
|
33 |
32 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |