| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
16,974 |
13,355 |
$1.28M |
| 99213 |
|
4,242 |
3,808 |
$214K |
| 99204 |
|
1,776 |
1,341 |
$203K |
| 99203 |
|
2,122 |
1,606 |
$159K |
| 99215 |
Prolong outpt/office vis |
1,544 |
1,314 |
$143K |
| 99396 |
|
450 |
421 |
$44K |
| 96372 |
|
1,527 |
1,200 |
$19K |
| 99395 |
|
200 |
187 |
$18K |
| 87880 |
|
1,515 |
1,135 |
$17K |
| 83037 |
|
1,772 |
1,585 |
$14K |
| 93000 |
|
716 |
629 |
$11K |
| 87804 |
|
991 |
412 |
$10K |
| 90471 |
|
573 |
524 |
$9K |
| 90686 |
|
591 |
533 |
$8K |
| 81002 |
|
1,908 |
1,553 |
$4K |
| 36416 |
|
1,862 |
1,518 |
$3K |
| 99211 |
|
286 |
235 |
$3K |
| 99202 |
|
66 |
47 |
$3K |
| 99205 |
Prolong outpt/office vis |
14 |
12 |
$2K |
| 81025 |
|
225 |
185 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
53 |
49 |
$494.67 |
| 99000 |
|
936 |
729 |
$379.92 |
| 90662 |
|
74 |
67 |
$336.79 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
404 |
340 |
$335.68 |
| 96127 |
|
15 |
14 |
$140.00 |
| 85018 |
|
19 |
13 |
$32.90 |
| 96160 |
|
134 |
132 |
$15.62 |
| 99072 |
|
346 |
266 |
$8.00 |
| 3045F |
|
60 |
59 |
$0.00 |
| 3044F |
|
502 |
479 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
106 |
99 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
12 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14 |
13 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
57 |
38 |
$0.00 |