| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
4,186 |
3,089 |
$81K |
| 70450 |
|
3,515 |
3,163 |
$64K |
| 74177 |
|
1,779 |
1,600 |
$47K |
| 71045 |
|
18,060 |
15,446 |
$44K |
| 99204 |
|
298 |
234 |
$15K |
| 71046 |
|
3,767 |
3,443 |
$14K |
| 99232 |
|
1,650 |
393 |
$12K |
| 99213 |
|
1,073 |
621 |
$12K |
| 95004 |
|
215 |
167 |
$11K |
| 74176 |
|
489 |
419 |
$10K |
| 94010 |
|
400 |
317 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
255 |
205 |
$6K |
| 74178 |
|
110 |
110 |
$4K |
| 72125 |
|
179 |
161 |
$3K |
| 94664 |
|
440 |
346 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
183 |
67 |
$3K |
| 77067 |
|
146 |
139 |
$2K |
| 71275 |
|
67 |
67 |
$2K |
| 77063 |
|
149 |
142 |
$2K |
| 99221 |
|
131 |
109 |
$2K |
| 99215 |
Prolong outpt/office vis |
28 |
26 |
$1K |
| 95117 |
|
362 |
181 |
$1K |
| 93975 |
|
29 |
28 |
$927.75 |
| 76830 |
|
28 |
27 |
$766.41 |
| 71250 |
|
40 |
36 |
$761.43 |
| 99212 |
|
151 |
111 |
$693.08 |
| 99490 |
Ccm add 20min |
156 |
124 |
$655.84 |
| 96372 |
|
242 |
186 |
$611.30 |
| 99457 |
|
151 |
139 |
$540.86 |
| 90686 |
|
40 |
37 |
$503.62 |
| 93306 |
|
38 |
26 |
$443.87 |
| 36415 |
|
470 |
357 |
$267.77 |
| 99483 |
Prolong outpt/office vis |
56 |
45 |
$264.58 |
| 90471 |
|
64 |
52 |
$221.96 |
| 73610 |
|
43 |
36 |
$163.62 |
| 99211 |
|
16 |
13 |
$138.23 |
| 99308 |
|
26 |
24 |
$136.19 |
| 76705 |
|
13 |
12 |
$117.64 |
| 73630 |
|
25 |
24 |
$105.64 |
| 20611 |
|
14 |
12 |
$100.32 |
| G0444 |
Depression screen annual |
101 |
88 |
$98.45 |
| 73562 |
|
15 |
12 |
$62.48 |
| 73130 |
|
12 |
12 |
$54.00 |
| G2211 |
Complex e/m visit add on |
34 |
30 |
$45.92 |
| G0447 |
Behavior counsel obesity 15m |
16 |
12 |
$33.36 |
| 77080 |
|
15 |
12 |
$29.58 |
| G0108 |
Diab manage trn per indiv |
16 |
12 |
$25.00 |
| G0008 |
Admin influenza virus vac |
17 |
15 |
$19.44 |
| J1100 |
Dexamethasone sodium phos |
49 |
26 |
$17.35 |
| J3420 |
Vitamin b12 injection |
196 |
128 |
$17.14 |
| G0446 |
Intens behave ther cardio dx |
16 |
12 |
$15.71 |
| J3301 |
Triamcinolone acet inj nos |
16 |
12 |
$1.86 |
| J1956 |
Levofloxacin injection |
49 |
13 |
$0.23 |
| J0696 |
Ceftriaxone sodium injection |
48 |
14 |
$0.09 |
| 1170F |
|
16 |
12 |
$0.00 |
| 99000 |
|
14 |
12 |
$0.00 |
| 0012F |
|
49 |
12 |
$0.00 |
| 1123F |
|
18 |
12 |
$0.00 |
| 1125F |
|
16 |
12 |
$0.00 |
| G8399 |
Pt w/dxa results document |
16 |
15 |
$0.00 |
| 0518F |
|
18 |
12 |
$0.00 |
| 1100F |
|
18 |
12 |
$0.00 |