| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
121 |
108 |
$2K |
| 99214 |
|
242 |
189 |
$1K |
| 96372 |
|
175 |
116 |
$449.84 |
| 36410 |
|
285 |
127 |
$140.08 |
| 99215 |
Prolong outpt/office vis |
164 |
93 |
$133.39 |
| 99358 |
Prolong nursin fac eval 15m |
200 |
169 |
$110.41 |
| J1040 |
Methylprednisolone 80 mg inj |
31 |
25 |
$79.87 |
| 84132 |
|
308 |
290 |
$0.00 |
| 82435 |
|
308 |
290 |
$0.00 |
| 99000 |
|
652 |
199 |
$0.00 |
| 83036 |
|
29 |
28 |
$0.00 |
| 87086 |
|
59 |
56 |
$0.00 |
| 81000 |
|
104 |
99 |
$0.00 |
| 97804 |
|
51 |
43 |
$0.00 |
| 87084 |
|
36 |
33 |
$0.00 |
| A9150 |
Misc/exper non-prescript dru |
57 |
53 |
$0.00 |
| 85025 |
|
255 |
241 |
$0.00 |
| 80051 |
|
76 |
75 |
$0.00 |
| G0108 |
Diab manage trn per indiv |
29 |
25 |
$0.00 |
| 36415 |
|
32 |
29 |
$0.00 |
| 99355 |
|
161 |
78 |
$0.00 |
| 97802 |
|
56 |
43 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
130 |
101 |
$0.00 |
| 84520 |
|
310 |
293 |
$0.00 |
| 84295 |
|
308 |
290 |
$0.00 |
| 82570 |
|
238 |
223 |
$0.00 |
| 82947 |
|
316 |
300 |
$0.00 |
| 81003 |
|
274 |
255 |
$0.00 |
| G0270 |
Mnt subs tx for change dx |
49 |
43 |
$0.00 |
| 99487 |
Ccm add 20min |
133 |
120 |
$0.00 |
| 83721 |
|
127 |
119 |
$0.00 |
| 99359 |
Prolong nursin fac eval 15m |
115 |
112 |
$0.00 |
| 82565 |
|
323 |
304 |
$0.00 |
| G0271 |
Group mnt 2 or more 30 mins |
49 |
43 |
$0.00 |
| 80061 |
|
158 |
150 |
$0.00 |
| 99354 |
|
98 |
78 |
$0.00 |
| 77080 |
|
77 |
68 |
$0.00 |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
15 |
15 |
$0.00 |
| 98960 |
|
33 |
32 |
$0.00 |
| 97803 |
|
53 |
43 |
$0.00 |