| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
|
10,186 |
3,049 |
$239K |
| 99233 |
Prolong inpt eval add15 m |
6,480 |
1,520 |
$196K |
| 99214 |
|
6,947 |
5,789 |
$92K |
| 99223 |
Prolong inpt eval add15 m |
1,401 |
1,303 |
$73K |
| 99239 |
|
1,490 |
1,381 |
$48K |
| 99213 |
|
855 |
695 |
$9K |
| 99422 |
|
586 |
488 |
$2K |
| 99215 |
Prolong outpt/office vis |
104 |
103 |
$2K |
| J3420 |
Vitamin b12 injection |
2,152 |
1,602 |
$2K |
| 96372 |
|
2,489 |
1,969 |
$2K |
| 99497 |
|
305 |
276 |
$1K |
| 99310 |
Prolong nursin fac eval 15m |
17 |
15 |
$429.63 |
| 99442 |
|
48 |
41 |
$365.19 |
| 99306 |
Prolong nursin fac eval 15m |
12 |
12 |
$316.55 |
| G0439 |
Ppps, subseq visit |
341 |
313 |
$303.99 |
| G0444 |
Depression screen annual |
383 |
369 |
$257.01 |
| 95923 |
|
43 |
43 |
$153.66 |
| G0008 |
Admin influenza virus vac |
248 |
234 |
$138.19 |
| 90661 |
|
61 |
51 |
$128.15 |
| 99423 |
|
15 |
14 |
$117.28 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
14 |
14 |
$103.95 |
| 90756 |
|
188 |
178 |
$86.22 |
| 93922 |
|
43 |
43 |
$67.81 |
| 99443 |
|
14 |
14 |
$58.44 |
| 36415 |
|
122 |
122 |
$49.76 |
| 96401 |
|
54 |
54 |
$32.79 |
| 99308 |
|
34 |
19 |
$11.84 |
| G9903 |
Pt scrn tbco id as non user |
328 |
274 |
$2.00 |
| G8417 |
Calc bmi abv up param f/u |
26 |
25 |
$0.00 |
| 1036F |
|
89 |
81 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
253 |
201 |
$0.00 |