| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
23,799 |
20,860 |
$1.72M |
| 99204 |
|
5,855 |
5,850 |
$527K |
| 99203 |
|
3,162 |
3,161 |
$210K |
| 99215 |
Prolong outpt/office vis |
1,259 |
1,225 |
$114K |
| 87426 |
|
3,906 |
3,715 |
$94K |
| G2023 |
Specimen collect covid-19 |
5,695 |
5,380 |
$34K |
| 96372 |
|
3,098 |
2,914 |
$21K |
| 87880 |
|
517 |
509 |
$5K |
| 81025 |
|
548 |
537 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
1,643 |
1,553 |
$3K |
| 81003 |
|
2,050 |
2,006 |
$3K |
| 87804 |
|
244 |
137 |
$2K |
| 99213 |
|
13 |
12 |
$597.60 |
| J2930 |
Methylprednisolone injection |
118 |
111 |
$419.54 |
| J2920 |
Methylprednisolone injection |
96 |
96 |
$313.00 |
| 99051 |
|
16,758 |
15,226 |
$273.32 |
| 73130 |
|
13 |
13 |
$215.90 |
| 82962 |
|
65 |
65 |
$135.53 |
| 87400 |
|
24 |
12 |
$117.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
15 |
14 |
$74.25 |
| J0696 |
Ceftriaxone sodium injection |
82 |
80 |
$30.89 |
| A4570 |
Splint |
265 |
261 |
$20.00 |
| 99072 |
|
1,799 |
1,657 |
$17.50 |
| 3074F |
|
10,731 |
9,685 |
$15.55 |
| 2000F |
|
16,438 |
14,650 |
$14.03 |
| 3078F |
|
7,962 |
7,271 |
$12.19 |
| 3079F |
|
5,974 |
5,579 |
$7.84 |
| J2405 |
Ondansetron hcl injection |
32 |
31 |
$6.73 |
| 3077F |
|
2,787 |
2,574 |
$4.24 |
| 3075F |
|
2,559 |
2,444 |
$3.88 |
| 3080F |
|
2,326 |
2,155 |
$3.64 |
| 3008F |
|
9,037 |
8,266 |
$0.11 |
| G8417 |
Calc bmi abv up param f/u |
7,657 |
6,780 |
$0.00 |
| G8752 |
Sys bp less 140 |
13 |
13 |
$0.00 |
| G8418 |
Calc bmi blw low param f/u |
405 |
365 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
5,938 |
5,306 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
31 |
31 |
$0.00 |
| G8432 |
Dep scr not doc, rng |
5,955 |
5,252 |
$0.00 |
| 99070 |
|
13 |
13 |
$0.00 |