| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
8,535 |
6,805 |
$274K |
| 99232 |
|
9,315 |
2,089 |
$178K |
| 99231 |
|
7,909 |
1,426 |
$150K |
| 99401 |
|
5,423 |
4,451 |
$129K |
| 99391 |
|
1,769 |
1,447 |
$91K |
| 90460 |
|
2,599 |
1,124 |
$75K |
| 99213 |
|
2,491 |
2,095 |
$68K |
| 99223 |
Prolong inpt eval add15 m |
1,202 |
970 |
$60K |
| 96372 |
|
3,132 |
1,809 |
$36K |
| 99381 |
|
545 |
493 |
$33K |
| 99392 |
|
360 |
273 |
$26K |
| 80307 |
|
995 |
887 |
$24K |
| 99238 |
|
1,131 |
917 |
$23K |
| 99220 |
|
491 |
376 |
$22K |
| 96110 |
|
579 |
419 |
$21K |
| 80305 |
|
3,563 |
3,012 |
$20K |
| 99254 |
|
246 |
219 |
$20K |
| 99233 |
Prolong inpt eval add15 m |
511 |
250 |
$14K |
| 93922 |
|
481 |
401 |
$12K |
| 99253 |
|
155 |
151 |
$12K |
| 99203 |
|
252 |
227 |
$9K |
| 99217 |
|
426 |
316 |
$9K |
| 82947 |
|
3,113 |
2,440 |
$6K |
| 99226 |
|
268 |
147 |
$6K |
| 90472 |
|
561 |
374 |
$5K |
| 93000 |
|
389 |
332 |
$4K |
| 95923 |
|
185 |
141 |
$4K |
| 94010 |
|
301 |
264 |
$4K |
| 90471 |
|
536 |
472 |
$3K |
| 99222 |
|
92 |
76 |
$3K |
| 81003 |
|
1,849 |
1,575 |
$2K |
| 99202 |
|
78 |
68 |
$2K |
| 81025 |
|
579 |
497 |
$2K |
| 96160 |
|
186 |
173 |
$2K |
| 95921 |
|
64 |
56 |
$2K |
| 90756 |
|
116 |
98 |
$1K |
| 96127 |
|
299 |
170 |
$965.77 |
| 99212 |
|
48 |
45 |
$899.84 |
| 90698 |
|
1,257 |
918 |
$800.00 |
| 90670 |
|
1,468 |
1,082 |
$729.64 |
| 99396 |
|
14 |
13 |
$722.52 |
| 90680 |
|
1,116 |
839 |
$700.00 |
| 90674 |
|
91 |
74 |
$616.89 |
| 90474 |
|
83 |
82 |
$566.50 |
| J3420 |
Vitamin b12 injection |
380 |
348 |
$523.30 |
| 95943 |
|
91 |
61 |
$406.82 |
| J1200 |
Diphenhydramine hcl injectio |
760 |
668 |
$327.49 |
| J1100 |
Dexamethasone sodium phos |
795 |
694 |
$316.38 |
| J0696 |
Ceftriaxone sodium injection |
195 |
179 |
$272.19 |
| 85610 |
|
125 |
99 |
$262.73 |
| J0694 |
Cefoxitin sodium injection |
57 |
47 |
$185.17 |
| 90461 |
|
1,306 |
903 |
$180.64 |
| J1885 |
Ketorolac tromethamine inj |
291 |
250 |
$118.47 |
| 90744 |
|
987 |
741 |
$62.03 |
| J1030 |
Methylprednisolone 40 mg inj |
15 |
13 |
$48.16 |
| 90686 |
|
14 |
12 |
$22.25 |
| 94760 |
|
299 |
263 |
$17.06 |
| G0008 |
Admin influenza virus vac |
15 |
13 |
$9.39 |
| G0444 |
Depression screen annual |
39 |
32 |
$1.68 |
| G0442 |
Annual alcohol screen 15 min |
20 |
17 |
$0.86 |
| 3008F |
|
2,991 |
2,544 |
$0.06 |
| 3080F |
|
442 |
385 |
$0.03 |
| 3077F |
|
591 |
508 |
$0.03 |
| 3079F |
|
146 |
129 |
$0.01 |
| 3075F |
|
31 |
30 |
$0.01 |
| 3074F |
|
28 |
26 |
$0.00 |
| 1125F |
|
293 |
258 |
$0.00 |
| 90716 |
|
30 |
25 |
$0.00 |
| 90647 |
|
73 |
69 |
$0.00 |
| 90633 |
|
138 |
96 |
$0.00 |
| 3078F |
|
49 |
48 |
$0.00 |
| 90707 |
|
29 |
24 |
$0.00 |
| 90700 |
|
77 |
73 |
$0.00 |
| 90713 |
|
75 |
71 |
$0.00 |