| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
3,516 |
3,029 |
$235K |
| 99214 |
|
3,237 |
2,800 |
$191K |
| 96361 |
|
537 |
324 |
$53K |
| 99284 |
|
843 |
690 |
$45K |
| 99283 |
|
578 |
496 |
$37K |
| 99212 |
|
540 |
465 |
$31K |
| 99203 |
|
487 |
426 |
$30K |
| 92014 |
|
442 |
422 |
$28K |
| 0241U |
|
965 |
793 |
$19K |
| 96365 |
|
292 |
214 |
$18K |
| 99215 |
Prolong outpt/office vis |
253 |
230 |
$17K |
| 74177 |
|
242 |
202 |
$17K |
| 99391 |
|
205 |
181 |
$15K |
| 87651 |
|
641 |
532 |
$14K |
| 99285 |
|
254 |
213 |
$14K |
| 80053 |
|
2,317 |
1,846 |
$12K |
| 99393 |
|
155 |
138 |
$10K |
| 85025 |
|
2,326 |
1,846 |
$9K |
| 99204 |
|
178 |
151 |
$9K |
| G0463 |
Hospital outpt clinic visit |
1,077 |
843 |
$9K |
| 80061 |
|
1,004 |
855 |
$8K |
| 99392 |
|
129 |
125 |
$8K |
| 99396 |
|
176 |
156 |
$8K |
| 84443 |
|
696 |
609 |
$7K |
| 99395 |
|
104 |
93 |
$7K |
| 80048 |
|
874 |
746 |
$5K |
| 96372 |
|
500 |
399 |
$5K |
| 90674 |
|
373 |
302 |
$4K |
| 85027 |
|
930 |
785 |
$4K |
| 83036 |
|
591 |
510 |
$3K |
| 82306 |
|
191 |
144 |
$3K |
| 92340 |
|
48 |
43 |
$3K |
| 81001 |
|
1,321 |
1,066 |
$2K |
| 99394 |
|
39 |
37 |
$2K |
| 82728 |
|
235 |
196 |
$2K |
| 96374 |
|
667 |
479 |
$2K |
| 91322 |
|
18 |
17 |
$2K |
| 83690 |
|
457 |
339 |
$2K |
| 99202 |
|
20 |
18 |
$1K |
| 84484 |
|
266 |
144 |
$1K |
| 93005 |
|
744 |
586 |
$1K |
| 81514 |
|
16 |
13 |
$1K |
| 87635 |
|
50 |
44 |
$1K |
| 87086 |
|
255 |
221 |
$1K |
| 81025 |
|
170 |
137 |
$1K |
| 86140 |
|
360 |
294 |
$1K |
| 90670 |
|
12 |
12 |
$966.76 |
| 73630 |
|
105 |
87 |
$810.94 |
| 83735 |
|
270 |
215 |
$772.13 |
| 71046 |
|
263 |
226 |
$698.31 |
| 99244 |
|
18 |
18 |
$544.72 |
| 0240U |
|
21 |
18 |
$505.97 |
| 82803 |
|
31 |
28 |
$463.36 |
| 90480 |
|
15 |
14 |
$426.62 |
| 36415 |
|
4,562 |
3,512 |
$420.88 |
| 90633 |
|
14 |
12 |
$356.60 |
| 87491 |
|
17 |
13 |
$326.34 |
| 87591 |
|
17 |
13 |
$326.34 |
| 84439 |
|
43 |
40 |
$288.92 |
| 83880 |
|
12 |
12 |
$210.15 |
| 85610 |
|
142 |
109 |
$203.19 |
| G0008 |
Admin influenza virus vac |
185 |
167 |
$178.36 |
| 83550 |
|
26 |
26 |
$157.11 |
| 90656 |
|
22 |
22 |
$134.94 |
| 80050 |
|
154 |
127 |
$117.05 |
| 83540 |
|
26 |
26 |
$116.39 |
| 83605 |
|
31 |
25 |
$109.80 |
| 85652 |
|
69 |
52 |
$84.55 |
| 90677 |
|
13 |
12 |
$44.21 |
| 90471 |
|
40 |
28 |
$39.75 |
| 84450 |
|
17 |
12 |
$32.10 |
| 82962 |
|
17 |
13 |
$16.50 |
| J8499 |
Oral prescrip drug non chemo |
280 |
231 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
721 |
428 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
244 |
185 |
$0.00 |
| 36592 |
|
323 |
273 |
$0.00 |
| 92015 |
|
466 |
423 |
$0.00 |
| J7120 |
Ringers lactate infusion |
33 |
27 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
253 |
220 |
$0.00 |
| 96375 |
|
529 |
393 |
$0.00 |
| 71045 |
|
102 |
88 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
14 |
12 |
$0.00 |
| J3490 |
Drugs unclassified injection |
39 |
27 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
13 |
12 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
16 |
12 |
$0.00 |