| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96365 |
|
8,454 |
1,682 |
$525K |
| 99214 |
|
5,229 |
4,420 |
$296K |
| 99213 |
|
4,675 |
2,860 |
$204K |
| 90961 |
|
339 |
335 |
$47K |
| 99354 |
|
329 |
315 |
$41K |
| 94799 |
|
477 |
476 |
$36K |
| 11043 |
|
268 |
64 |
$31K |
| 99232 |
|
729 |
240 |
$28K |
| 96366 |
|
531 |
160 |
$26K |
| 90962 |
|
163 |
163 |
$20K |
| 99204 |
|
246 |
246 |
$19K |
| 99309 |
|
466 |
432 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
174 |
171 |
$14K |
| 96360 |
|
263 |
178 |
$13K |
| 11042 |
|
118 |
30 |
$9K |
| 90960 |
|
98 |
91 |
$9K |
| 96361 |
|
199 |
134 |
$6K |
| H0049 |
Alcohol/drug screening |
323 |
297 |
$5K |
| G8510 |
Scr dep neg, no plan reqd |
311 |
290 |
$4K |
| 94726 |
|
56 |
56 |
$3K |
| 99222 |
|
51 |
48 |
$3K |
| 99215 |
Prolong outpt/office vis |
85 |
80 |
$3K |
| 96127 |
|
464 |
436 |
$3K |
| 99406 |
|
193 |
179 |
$3K |
| G8431 |
Pos clin depres scrn f/u doc |
73 |
71 |
$3K |
| 82962 |
|
1,003 |
805 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
2,217 |
415 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
52 |
13 |
$2K |
| 94010 |
|
56 |
56 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
18 |
18 |
$933.40 |
| G0442 |
Annual alcohol screen 15 min |
51 |
51 |
$492.22 |
| J7050 |
Normal saline solution infus |
181 |
29 |
$318.43 |
| J3370 |
Vancomycin hcl injection |
99 |
12 |
$300.89 |
| 96374 |
|
19 |
12 |
$296.86 |
| J2405 |
Ondansetron hcl injection |
53 |
33 |
$190.19 |
| J7040 |
Normal saline solution infus |
414 |
218 |
$138.97 |
| 96375 |
|
26 |
13 |
$119.16 |
| 96372 |
|
53 |
49 |
$77.75 |
| J7030 |
Normal saline solution infus |
480 |
357 |
$71.01 |
| 99318 |
|
15 |
15 |
$16.72 |
| 1036F |
|
518 |
483 |
$0.00 |
| 3044F |
|
25 |
24 |
$0.00 |
| 3074F |
|
386 |
358 |
$0.00 |
| 3079F |
|
31 |
28 |
$0.00 |
| 3075F |
|
14 |
13 |
$0.00 |
| 3078F |
|
467 |
426 |
$0.00 |
| 3077F |
|
36 |
33 |
$0.00 |