| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
9,141 |
7,709 |
$18K |
| 95909 |
|
79 |
69 |
$5K |
| 99213 |
|
1,891 |
1,660 |
$4K |
| 80307 |
|
2,970 |
2,444 |
$2K |
| 95911 |
|
15 |
13 |
$2K |
| 99204 |
|
290 |
245 |
$2K |
| 64483 |
|
152 |
133 |
$1K |
| 80305 |
|
2,380 |
2,013 |
$651.02 |
| 96372 |
|
496 |
417 |
$266.45 |
| 64493 |
|
14 |
13 |
$70.78 |
| J3490 |
Drugs unclassified injection |
674 |
329 |
$58.40 |
| J1885 |
Ketorolac tromethamine inj |
479 |
402 |
$44.31 |
| J2250 |
Inj midazolam hydrochloride |
898 |
763 |
$39.30 |
| 64635 |
|
13 |
13 |
$36.94 |
| 64636 |
|
13 |
13 |
$11.51 |
| 64494 |
|
13 |
12 |
$9.14 |
| J2704 |
Inj, propofol, 10 mg |
137 |
121 |
$7.42 |
| J1100 |
Dexamethasone sodium phos |
755 |
657 |
$5.23 |
| J3010 |
Fentanyl citrate injection |
17 |
12 |
$1.11 |
| 1036F |
|
2,009 |
1,824 |
$0.00 |
| J2001 |
Lidocaine injection |
1,211 |
1,042 |
$0.00 |
| 1006F |
|
535 |
438 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
32 |
28 |
$0.00 |
| G8482 |
Flu immunize order/admin |
791 |
696 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
804 |
697 |
$0.00 |
| G8730 |
Pain doc pos and plan |
2,480 |
2,219 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
2,948 |
2,656 |
$0.00 |
| G8484 |
Flu immunize no admin |
1,383 |
1,259 |
$0.00 |
| 4004F |
|
593 |
525 |
$0.00 |
| 4040F |
|
1,054 |
921 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
267 |
252 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
13 |
12 |
$0.00 |