| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
7,644 |
6,118 |
$302K |
| 99213 |
|
4,554 |
3,819 |
$144K |
| 90460 |
|
630 |
547 |
$22K |
| 96372 |
|
950 |
780 |
$13K |
| 87811 |
|
369 |
323 |
$11K |
| 87804 |
|
1,054 |
478 |
$10K |
| 99391 |
|
181 |
128 |
$9K |
| 99394 |
|
57 |
54 |
$5K |
| 99392 |
|
43 |
40 |
$3K |
| 81002 |
|
2,286 |
1,952 |
$3K |
| 90756 |
|
234 |
205 |
$3K |
| 87880 |
|
269 |
244 |
$3K |
| 94760 |
|
319 |
254 |
$2K |
| 90471 |
|
221 |
192 |
$1K |
| 99396 |
|
28 |
24 |
$1K |
| 93000 |
|
113 |
102 |
$1K |
| J2930 |
Methylprednisolone injection |
289 |
241 |
$1K |
| 99393 |
|
13 |
12 |
$954.88 |
| 99211 |
|
61 |
55 |
$941.91 |
| J0696 |
Ceftriaxone sodium injection |
521 |
424 |
$755.25 |
| 99203 |
|
17 |
12 |
$754.20 |
| J3301 |
Triamcinolone acet inj nos |
340 |
295 |
$741.69 |
| G0444 |
Depression screen annual |
84 |
74 |
$647.17 |
| 90688 |
|
44 |
41 |
$547.05 |
| 0011A |
|
22 |
16 |
$517.02 |
| 3008F |
|
110 |
95 |
$460.00 |
| 0012A |
|
16 |
12 |
$400.00 |
| 99173 |
|
60 |
52 |
$339.62 |
| 99215 |
Prolong outpt/office vis |
16 |
12 |
$277.19 |
| 99490 |
Ccm add 20min |
68 |
68 |
$253.54 |
| 1159F |
|
40 |
36 |
$180.00 |
| 1160F |
|
40 |
36 |
$180.00 |
| 90686 |
|
126 |
105 |
$111.21 |
| 80305 |
|
19 |
13 |
$110.68 |
| 90674 |
|
12 |
12 |
$87.78 |
| 1111F |
|
73 |
68 |
$60.00 |
| J1885 |
Ketorolac tromethamine inj |
12 |
12 |
$19.78 |
| 3074F |
|
39 |
38 |
$10.00 |
| 3078F |
|
55 |
51 |
$10.00 |
| G0008 |
Admin influenza virus vac |
92 |
81 |
$0.43 |
| 90680 |
|
13 |
12 |
$0.00 |
| G9226 |
3 comp foot exam completed |
889 |
804 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
105 |
85 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
13 |
13 |
$0.00 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
16 |
16 |
$0.00 |
| 90723 |
|
16 |
13 |
$0.00 |
| 3077F |
|
14 |
13 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
5,315 |
4,240 |
$0.00 |
| 4551F |
|
67 |
62 |
$0.00 |
| 90670 |
|
59 |
51 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
30 |
25 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
69 |
57 |
$0.00 |
| G8482 |
Flu immunize order/admin |
18 |
16 |
$0.00 |