| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
79,683 |
60,225 |
$2.32M |
| 80307 |
|
39,500 |
27,391 |
$2.03M |
| 99349 |
|
8,237 |
5,154 |
$592K |
| 90832 |
|
13,384 |
9,193 |
$524K |
| 99212 |
|
16,758 |
7,811 |
$376K |
| H0015 |
Alcohol and/or drug services |
1,736 |
191 |
$106K |
| 99348 |
|
1,319 |
690 |
$35K |
| 99203 |
|
485 |
470 |
$27K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,598 |
1,351 |
$24K |
| 96372 |
|
1,657 |
1,196 |
$23K |
| D0140 |
|
433 |
410 |
$18K |
| 90834 |
|
382 |
201 |
$18K |
| 90837 |
|
266 |
123 |
$17K |
| D0330 |
|
276 |
268 |
$16K |
| 99214 |
|
334 |
256 |
$15K |
| 90791 |
|
137 |
136 |
$11K |
| D0150 |
|
346 |
328 |
$10K |
| D1110 |
|
184 |
174 |
$9K |
| 99391 |
|
120 |
116 |
$7K |
| H0002 |
Alcohol and/or drug screenin |
142 |
136 |
$7K |
| 87428 |
|
247 |
236 |
$7K |
| 90460 |
|
108 |
105 |
$4K |
| 71046 |
|
277 |
264 |
$4K |
| D0210 |
|
74 |
69 |
$4K |
| 99204 |
|
60 |
55 |
$4K |
| D7140 |
|
59 |
13 |
$4K |
| 93000 |
|
252 |
230 |
$3K |
| 87804 |
|
176 |
130 |
$3K |
| 99392 |
|
56 |
51 |
$3K |
| 90461 |
|
84 |
81 |
$3K |
| 87426 |
|
116 |
112 |
$3K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
336 |
295 |
$2K |
| 90471 |
|
281 |
241 |
$2K |
| D0220 |
|
174 |
169 |
$2K |
| D2391 |
|
48 |
25 |
$2K |
| 99343 |
|
20 |
18 |
$2K |
| 87880 |
|
108 |
103 |
$1K |
| 90658 |
|
183 |
178 |
$1K |
| 99396 |
|
15 |
14 |
$943.64 |
| H0001 |
Alcohol and/or drug assess |
19 |
18 |
$917.51 |
| D2392 |
|
15 |
12 |
$874.50 |
| J1885 |
Ketorolac tromethamine inj |
165 |
141 |
$748.23 |
| 90670 |
|
103 |
99 |
$725.55 |
| 87807 |
|
52 |
50 |
$547.17 |
| 90472 |
|
13 |
13 |
$421.40 |
| D0274 |
|
12 |
12 |
$389.85 |
| 99211 |
|
32 |
29 |
$373.20 |
| 90723 |
|
57 |
54 |
$353.60 |
| 71045 |
|
25 |
25 |
$316.93 |
| 86580 |
|
132 |
123 |
$145.05 |
| H0038 |
Self-help/peer svc per 15min |
16 |
16 |
$141.67 |
| 90680 |
|
13 |
12 |
$75.20 |
| J3420 |
Vitamin b12 injection |
25 |
24 |
$58.78 |
| 90686 |
|
21 |
20 |
$53.38 |
| 90732 |
|
28 |
28 |
$50.00 |
| 0002A |
|
12 |
12 |
$40.00 |
| 0003A |
|
16 |
16 |
$30.00 |
| J1100 |
Dexamethasone sodium phos |
39 |
39 |
$29.96 |
| 90647 |
|
27 |
26 |
$22.77 |
| J0696 |
Ceftriaxone sodium injection |
13 |
12 |
$18.06 |
| 90633 |
|
14 |
13 |
$0.00 |
| G0008 |
Admin influenza virus vac |
14 |
14 |
$0.00 |