| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
10,802 |
9,542 |
$581K |
| 99213 |
|
8,049 |
7,334 |
$314K |
| 87426 |
|
4,976 |
4,181 |
$140K |
| 87804 |
|
4,883 |
4,038 |
$95K |
| 87428 |
|
1,590 |
1,344 |
$71K |
| 99203 |
|
734 |
621 |
$35K |
| 87880 |
|
1,343 |
1,172 |
$13K |
| 96372 |
|
4,372 |
3,308 |
$10K |
| 71046 |
|
273 |
254 |
$5K |
| 99212 |
|
227 |
211 |
$5K |
| 80053 |
|
248 |
206 |
$2K |
| 0012A |
|
123 |
108 |
$2K |
| 0011A |
|
136 |
118 |
$2K |
| 85025 |
|
244 |
197 |
$1K |
| 81003 |
|
651 |
568 |
$1K |
| 99215 |
Prolong outpt/office vis |
18 |
14 |
$1K |
| 94640 |
|
112 |
100 |
$848.42 |
| 0031A |
|
35 |
33 |
$701.75 |
| 99204 |
|
15 |
13 |
$614.14 |
| 99202 |
|
13 |
13 |
$572.17 |
| 81025 |
|
99 |
87 |
$499.15 |
| 0013A |
|
16 |
13 |
$314.86 |
| 87807 |
|
32 |
27 |
$303.28 |
| 93000 |
|
31 |
27 |
$275.78 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
434 |
357 |
$246.41 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
166 |
142 |
$87.41 |
| 84703 |
|
12 |
12 |
$82.17 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
105 |
86 |
$72.22 |
| 36415 |
|
30 |
28 |
$46.90 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
79 |
64 |
$46.01 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
710 |
557 |
$43.52 |
| 96374 |
|
16 |
12 |
$15.50 |
| 91303 |
|
24 |
18 |
$0.00 |
| 91301 |
|
145 |
131 |
$0.00 |
| 94760 |
|
91 |
76 |
$0.00 |
| 99000 |
|
52 |
45 |
$0.00 |
| 99070 |
|
40 |
33 |
$0.00 |
| 99072 |
|
450 |
395 |
$0.00 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
23 |
21 |
$0.00 |