| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
16,004 |
12,837 |
$1.10M |
| 99213 |
|
8,240 |
5,706 |
$364K |
| 99308 |
|
1,494 |
1,155 |
$30K |
| 99051 |
|
2,851 |
2,541 |
$19K |
| 87426 |
|
1,222 |
809 |
$13K |
| 99307 |
|
1,678 |
1,038 |
$13K |
| 99212 |
|
170 |
133 |
$10K |
| 96372 |
|
4,183 |
2,888 |
$7K |
| U0002 |
Covid-19 lab test non-cdc |
1,657 |
1,380 |
$6K |
| 99215 |
Prolong outpt/office vis |
41 |
39 |
$6K |
| 87428 |
|
826 |
432 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
982 |
766 |
$752.94 |
| 99309 |
|
27 |
26 |
$440.00 |
| G0008 |
Admin influenza virus vac |
67 |
46 |
$287.28 |
| 87804 |
|
3,514 |
1,513 |
$208.93 |
| J1100 |
Dexamethasone sodium phos |
1,482 |
1,183 |
$161.90 |
| 81003 |
|
202 |
182 |
$155.96 |
| 83036 |
|
135 |
87 |
$108.25 |
| J1885 |
Ketorolac tromethamine inj |
484 |
315 |
$1.19 |
| 87880 |
|
790 |
717 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
154 |
131 |
$0.00 |
| J2010 |
Lincomycin injection |
225 |
193 |
$0.00 |
| 81025 |
|
14 |
13 |
$0.00 |
| G8482 |
Flu immunize order/admin |
58 |
50 |
$0.00 |
| G8752 |
Sys bp less 140 |
42 |
41 |
$0.00 |
| G8484 |
Flu immunize no admin |
101 |
94 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
16 |
14 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
63 |
40 |
$0.00 |
| 94640 |
|
18 |
13 |
$0.00 |
| 81000 |
|
218 |
172 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
150 |
132 |
$0.00 |
| 87807 |
|
188 |
162 |
$0.00 |
| G8754 |
Dias bp less 90 |
52 |
51 |
$0.00 |
| 90686 |
|
27 |
17 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
29 |
25 |
$0.00 |
| J3420 |
Vitamin b12 injection |
21 |
12 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
206 |
185 |
$0.00 |