| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
5,079 |
3,837 |
$219K |
| 99309 |
|
12,839 |
7,094 |
$149K |
| 99310 |
Prolong nursin fac eval 15m |
5,400 |
3,394 |
$103K |
| 99214 |
|
1,615 |
1,358 |
$77K |
| 99336 |
|
1,909 |
1,224 |
$61K |
| 87502 |
|
1,166 |
850 |
$54K |
| 99487 |
Ccm add 20min |
6,077 |
5,933 |
$34K |
| 99203 |
|
620 |
482 |
$33K |
| 99308 |
|
2,653 |
2,078 |
$28K |
| 87811 |
|
1,153 |
847 |
$27K |
| 87426 |
|
638 |
507 |
$15K |
| 99350 |
Prolong home eval add 15m |
334 |
251 |
$14K |
| 99337 |
|
153 |
144 |
$11K |
| 99349 |
|
284 |
215 |
$10K |
| 87651 |
|
453 |
365 |
$8K |
| 99490 |
Ccm add 20min |
1,574 |
1,548 |
$7K |
| 11042 |
|
520 |
322 |
$7K |
| 99335 |
|
276 |
230 |
$6K |
| 99306 |
Prolong nursin fac eval 15m |
82 |
70 |
$5K |
| M0243 |
Casirivi and imdevi inj |
26 |
25 |
$4K |
| 99358 |
Prolong nursin fac eval 15m |
402 |
315 |
$3K |
| 99382 |
|
137 |
62 |
$3K |
| G2063 |
Qual nonmd est pt 21>min |
848 |
324 |
$3K |
| G0181 |
Home health care supervision |
175 |
155 |
$3K |
| 96372 |
|
320 |
240 |
$3K |
| 99491 |
Ccm add 20min |
188 |
188 |
$2K |
| 99348 |
|
126 |
108 |
$2K |
| 99393 |
|
28 |
28 |
$2K |
| 99392 |
|
70 |
39 |
$2K |
| 99328 |
|
13 |
13 |
$2K |
| 99318 |
|
119 |
109 |
$2K |
| 99327 |
|
23 |
22 |
$2K |
| 99212 |
|
60 |
59 |
$1K |
| 92551 |
|
326 |
205 |
$1K |
| 99215 |
Prolong outpt/office vis |
19 |
16 |
$915.94 |
| 80051 |
|
368 |
334 |
$795.61 |
| 82550 |
|
325 |
294 |
$755.33 |
| 81007 |
|
191 |
165 |
$746.03 |
| 36415 |
|
540 |
458 |
$557.90 |
| 82565 |
|
339 |
306 |
$553.61 |
| 82947 |
|
310 |
280 |
$462.04 |
| 90756 |
|
52 |
39 |
$455.80 |
| 84520 |
|
365 |
332 |
$442.07 |
| 87804 |
|
65 |
55 |
$394.86 |
| 99483 |
Prolong outpt/office vis |
71 |
44 |
$387.75 |
| 87428 |
|
13 |
13 |
$325.91 |
| 90674 |
|
17 |
16 |
$312.65 |
| 99307 |
|
49 |
45 |
$295.19 |
| 99173 |
|
327 |
207 |
$278.78 |
| 80061 |
|
55 |
51 |
$252.48 |
| 90471 |
|
32 |
29 |
$247.95 |
| 97597 |
|
43 |
29 |
$177.01 |
| 83655 |
|
193 |
64 |
$166.88 |
| J1030 |
Methylprednisolone 40 mg inj |
42 |
41 |
$156.19 |
| 85018 |
|
221 |
98 |
$78.68 |
| G2061 |
Qual nonmd est pt 5-10m |
37 |
37 |
$73.63 |
| 0012A |
|
15 |
15 |
$43.70 |
| 82977 |
|
15 |
15 |
$41.41 |
| 82150 |
|
14 |
14 |
$37.29 |
| 0011A |
|
15 |
15 |
$33.88 |
| 99423 |
|
220 |
95 |
$31.36 |
| 84460 |
|
14 |
14 |
$30.47 |
| S9088 |
Services provided in urgent |
18 |
18 |
$30.00 |
| 84450 |
|
14 |
14 |
$29.76 |
| 84075 |
|
14 |
14 |
$29.76 |
| 82247 |
|
14 |
14 |
$28.91 |
| 82040 |
|
14 |
14 |
$28.48 |
| 96160 |
|
13 |
13 |
$24.18 |
| 84155 |
|
14 |
14 |
$21.10 |
| J7030 |
Normal saline solution infus |
15 |
13 |
$18.37 |
| J1100 |
Dexamethasone sodium phos |
77 |
68 |
$15.38 |
| J0696 |
Ceftriaxone sodium injection |
26 |
25 |
$9.12 |
| Q0244 |
Casirivi and imdevi 1200 mg |
13 |
12 |
$0.00 |
| 36416 |
|
238 |
103 |
$0.00 |
| G0008 |
Admin influenza virus vac |
18 |
18 |
$0.00 |