| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
19,566 |
16,955 |
$976K |
| 99204 |
|
809 |
743 |
$60K |
| 99213 |
|
1,316 |
1,178 |
$49K |
| 64635 |
|
242 |
191 |
$31K |
| J1030 |
Methylprednisolone 40 mg inj |
5,041 |
3,988 |
$21K |
| 01992 |
|
199 |
178 |
$20K |
| 64636 |
|
224 |
172 |
$19K |
| 64483 |
|
211 |
200 |
$18K |
| J7120 |
Ringers lactate infusion |
6,411 |
4,676 |
$8K |
| 27096 |
|
63 |
62 |
$6K |
| 76942 |
|
169 |
152 |
$4K |
| 64493 |
|
44 |
37 |
$3K |
| J3010 |
Fentanyl citrate injection |
5,433 |
3,968 |
$3K |
| 62321 |
|
29 |
28 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
5,932 |
4,272 |
$3K |
| 20553 |
|
59 |
52 |
$822.95 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,060 |
3,161 |
$773.30 |
| J2250 |
Inj midazolam hydrochloride |
5,774 |
4,184 |
$720.22 |
| 82962 |
|
221 |
171 |
$336.37 |
| 81025 |
|
99 |
62 |
$313.20 |
| 80305 |
|
12 |
12 |
$146.41 |
| J1100 |
Dexamethasone sodium phos |
129 |
115 |
$115.56 |
| J1010 |
Inj, methylpred acetate 1 mg |
14 |
12 |
$46.93 |
| J2405 |
Ondansetron hcl injection |
54 |
41 |
$0.28 |
| G8950 |
Pre-htn or htn doc, f/u indc |
56 |
52 |
$0.00 |
| 3017F |
|
694 |
634 |
$0.00 |
| 1123F |
|
28 |
25 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
235 |
219 |
$0.00 |
| 64494 |
|
12 |
12 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
219 |
198 |
$0.00 |
| 6045F |
|
833 |
682 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
382 |
355 |
$0.00 |
| G9500 |
Rad expos ind/exp tm doc |
1,944 |
1,651 |
$0.00 |
| G9899 |
Scrn mam perf rslts doc |
642 |
577 |
$0.00 |
| G8482 |
Flu immunize order/admin |
343 |
310 |
$0.00 |
| G9991 |
Pneum vax admin 19+ |
79 |
74 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
48 |
48 |
$0.00 |
| G8399 |
Pt w/dxa results document |
24 |
24 |
$0.00 |
| 99203 |
|
26 |
24 |
$0.00 |