| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
14,685 |
11,656 |
$1.21M |
| 99214 |
|
4,631 |
4,011 |
$252K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
3,525 |
3,245 |
$58K |
| 99212 |
|
183 |
141 |
$15K |
| 99215 |
Prolong outpt/office vis |
309 |
196 |
$10K |
| 96372 |
|
1,285 |
1,054 |
$9K |
| S9110 |
Telemonitoring/home per mnth |
730 |
64 |
$7K |
| G2025 |
Dis site tele svcs rhc/fqhc |
204 |
88 |
$4K |
| 99307 |
|
294 |
223 |
$4K |
| 99382 |
|
34 |
26 |
$2K |
| 1159F |
|
6,802 |
5,384 |
$1K |
| 3008F |
|
3,108 |
2,494 |
$1K |
| 99392 |
|
23 |
19 |
$1K |
| 3074F |
|
3,470 |
2,877 |
$655.07 |
| 3078F |
|
4,389 |
3,525 |
$608.01 |
| 3077F |
|
1,127 |
886 |
$437.48 |
| 3079F |
|
1,055 |
879 |
$236.43 |
| 3075F |
|
916 |
771 |
$204.86 |
| 1034F |
|
114 |
100 |
$110.16 |
| 3048F |
|
15 |
12 |
$62.70 |
| 87804 |
|
374 |
342 |
$57.11 |
| 87430 |
|
145 |
137 |
$52.98 |
| G2211 |
Complex e/m visit add on |
160 |
147 |
$18.80 |
| J1030 |
Methylprednisolone 40 mg inj |
591 |
542 |
$9.56 |
| 90471 |
|
15 |
14 |
$6.91 |
| 90756 |
|
22 |
15 |
$5.96 |
| 81002 |
|
136 |
132 |
$1.57 |
| J1100 |
Dexamethasone sodium phos |
639 |
572 |
$0.20 |
| 36416 |
|
15 |
14 |
$0.00 |
| 36415 |
|
189 |
155 |
$0.00 |
| 87635 |
|
61 |
25 |
$0.00 |
| 92551 |
|
13 |
13 |
$0.00 |
| 1126F |
|
653 |
588 |
$0.00 |
| 1125F |
|
381 |
339 |
$0.00 |
| 90674 |
|
30 |
29 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
75 |
65 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
22 |
21 |
$0.00 |
| 3351F |
|
29 |
29 |
$0.00 |
| 3080F |
|
15 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
22 |
15 |
$0.00 |
| 85018 |
|
57 |
45 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
13 |
13 |
$0.00 |
| 1036F |
|
48 |
45 |
$0.00 |
| 1160F |
|
6,794 |
5,371 |
$0.00 |
| 87880 |
|
250 |
220 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |
| A9901 |
Delivery/set up/dispensing |
12 |
12 |
$0.00 |