| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
7,696 |
6,705 |
$210K |
| 80307 |
|
6,607 |
5,763 |
$70K |
| 99152 |
|
2,085 |
1,761 |
$41K |
| 64635 |
|
88 |
72 |
$35K |
| 64493 |
|
426 |
354 |
$29K |
| 64636 |
|
65 |
60 |
$16K |
| 99213 |
|
1,088 |
860 |
$15K |
| 80354 |
|
595 |
515 |
$12K |
| 80373 |
|
593 |
515 |
$12K |
| 80365 |
|
593 |
515 |
$11K |
| 64494 |
|
425 |
353 |
$11K |
| 80348 |
|
541 |
465 |
$10K |
| 62323 |
|
84 |
73 |
$10K |
| 80369 |
|
352 |
310 |
$7K |
| 80362 |
|
352 |
310 |
$7K |
| 80356 |
|
301 |
264 |
$7K |
| 80367 |
|
537 |
465 |
$7K |
| 80323 |
|
282 |
237 |
$6K |
| 99215 |
Prolong outpt/office vis |
130 |
122 |
$6K |
| 80358 |
|
300 |
264 |
$6K |
| 80372 |
|
301 |
264 |
$5K |
| 80355 |
|
352 |
310 |
$5K |
| 80335 |
|
300 |
264 |
$5K |
| 80346 |
|
224 |
188 |
$4K |
| 80366 |
|
301 |
264 |
$4K |
| 80363 |
|
223 |
187 |
$4K |
| 99212 |
|
476 |
437 |
$4K |
| 80324 |
|
225 |
188 |
$3K |
| 80349 |
|
211 |
174 |
$3K |
| 99211 |
|
230 |
155 |
$918.15 |
| 99205 |
Prolong outpt/office vis |
19 |
12 |
$912.01 |
| 80359 |
|
41 |
35 |
$731.55 |
| 99204 |
|
20 |
12 |
$677.78 |
| 80357 |
|
41 |
35 |
$425.92 |
| 80350 |
|
41 |
35 |
$298.48 |
| J2250 |
Inj midazolam hydrochloride |
1,830 |
1,537 |
$229.25 |
| G0482 |
Drug test def 15-21 classes |
1,265 |
1,168 |
$167.23 |
| 83992 |
|
33 |
27 |
$159.36 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
337 |
280 |
$115.52 |
| J3010 |
Fentanyl citrate injection |
1,706 |
1,440 |
$71.14 |
| 80345 |
|
41 |
35 |
$60.42 |
| 80338 |
|
41 |
35 |
$58.46 |
| 80371 |
|
41 |
35 |
$55.62 |
| 80360 |
|
41 |
35 |
$45.92 |
| G0480 |
Drug test def 1-7 classes |
403 |
379 |
$42.47 |
| G0483 |
Drug test def 22+ classes |
1,806 |
1,571 |
$14.41 |
| J0702 |
Betamethasone acet&sod phosp |
786 |
683 |
$3.59 |
| J3301 |
Triamcinolone acet inj nos |
13 |
12 |
$2.02 |
| G0481 |
Drug test def 8-14 classes |
122 |
90 |
$0.00 |
| 1125F |
|
2,600 |
2,465 |
$0.00 |
| 96132 |
|
66 |
48 |
$0.00 |
| G0444 |
Depression screen annual |
192 |
140 |
$0.00 |
| 96138 |
|
128 |
65 |
$0.00 |
| 76000 |
|
17 |
15 |
$0.00 |