| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
15,288 |
13,933 |
$407K |
| 99223 |
Prolong inpt eval add15 m |
3,352 |
3,111 |
$259K |
| 99232 |
|
9,077 |
4,701 |
$200K |
| 99238 |
|
2,298 |
2,099 |
$65K |
| 99213 |
|
2,181 |
2,026 |
$36K |
| 99233 |
Prolong inpt eval add15 m |
1,797 |
1,038 |
$24K |
| 99204 |
|
514 |
501 |
$15K |
| 99222 |
|
412 |
399 |
$14K |
| 99231 |
|
825 |
628 |
$14K |
| 81003 |
|
1,470 |
1,333 |
$11K |
| 99391 |
|
113 |
104 |
$9K |
| 99308 |
|
905 |
861 |
$9K |
| 99490 |
Ccm add 20min |
996 |
945 |
$7K |
| 93922 |
|
757 |
742 |
$7K |
| 99221 |
|
104 |
99 |
$4K |
| 96372 |
|
1,345 |
1,061 |
$3K |
| 90472 |
|
105 |
99 |
$2K |
| 36415 |
|
4,275 |
4,017 |
$2K |
| 99443 |
|
239 |
185 |
$2K |
| 99203 |
|
38 |
36 |
$1K |
| 87804 |
|
185 |
89 |
$1K |
| 85025 |
|
709 |
680 |
$875.54 |
| 99442 |
|
105 |
88 |
$705.47 |
| 80061 |
|
683 |
661 |
$704.00 |
| 20610 |
|
209 |
162 |
$674.85 |
| J1040 |
Methylprednisolone 80 mg inj |
413 |
382 |
$591.54 |
| 99215 |
Prolong outpt/office vis |
29 |
29 |
$498.30 |
| 51798 |
|
110 |
103 |
$484.88 |
| 83037 |
|
404 |
396 |
$466.11 |
| 90471 |
|
41 |
40 |
$390.77 |
| 71046 |
|
29 |
28 |
$245.70 |
| 99212 |
|
46 |
40 |
$190.05 |
| J0696 |
Ceftriaxone sodium injection |
216 |
154 |
$165.61 |
| 87880 |
|
24 |
22 |
$155.58 |
| 90473 |
|
14 |
14 |
$140.00 |
| 93793 |
|
114 |
79 |
$135.42 |
| 81001 |
|
15 |
14 |
$125.43 |
| 82962 |
|
156 |
151 |
$101.15 |
| 99211 |
|
17 |
14 |
$98.50 |
| 99239 |
|
18 |
13 |
$90.19 |
| 85610 |
|
32 |
24 |
$61.58 |
| 80305 |
|
112 |
105 |
$58.79 |
| 87426 |
|
26 |
14 |
$54.96 |
| 90662 |
|
38 |
38 |
$49.64 |
| J1885 |
Ketorolac tromethamine inj |
142 |
115 |
$41.10 |
| 90686 |
|
33 |
32 |
$23.19 |
| 99152 |
|
14 |
13 |
$17.00 |
| J1100 |
Dexamethasone sodium phos |
63 |
61 |
$14.40 |
| 93000 |
|
16 |
13 |
$13.81 |
| 90744 |
|
31 |
28 |
$0.00 |
| G0439 |
Ppps, subseq visit |
22 |
22 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| 90680 |
|
29 |
27 |
$0.00 |
| G0008 |
Admin influenza virus vac |
66 |
65 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
22 |
22 |
$0.00 |
| 90698 |
|
37 |
34 |
$0.00 |
| A4215 |
Sterile needle |
36 |
26 |
$0.00 |
| 90670 |
|
53 |
49 |
$0.00 |
| G0444 |
Depression screen annual |
22 |
22 |
$0.00 |
| A4208 |
3 cc sterile syringe&needle |
36 |
26 |
$0.00 |