| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
3,594 |
3,085 |
$278K |
| 96365 |
|
1,753 |
1,223 |
$69K |
| J3415 |
Injection, pyridoxine hcl, 100 mg |
1,568 |
1,163 |
$14K |
| 99204 |
|
103 |
99 |
$12K |
| 99215 |
Prolong outpt/office vis |
92 |
65 |
$7K |
| 36415 |
|
2,055 |
1,350 |
$6K |
| J0610 |
Injection, calcium gluconate (fresenius kabi), per 10 ml |
681 |
494 |
$2K |
| 99212 |
|
54 |
47 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,571 |
1,148 |
$1K |
| J3490 |
Unclassified drugs |
698 |
510 |
$668.67 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
1,486 |
1,094 |
$589.02 |
| J0612 |
Injection, calcium gluconate, not otherwise specified, 10 mg |
41 |
23 |
$0.23 |
| 97803 |
|
124 |
83 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
22 |
18 |
$0.00 |