| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
27,255 |
18,019 |
$1.45M |
| 99215 |
Prolong outpt/office vis |
13,052 |
9,235 |
$1.02M |
| 99213 |
|
1,159 |
948 |
$44K |
| 96372 |
|
1,535 |
923 |
$17K |
| 99205 |
Prolong outpt/office vis |
150 |
129 |
$13K |
| 99203 |
|
457 |
402 |
$13K |
| 99204 |
|
172 |
165 |
$11K |
| H0038 |
Self-help/peer svc per 15min |
193 |
156 |
$10K |
| J1030 |
Methylprednisolone 40 mg inj |
729 |
453 |
$6K |
| Q9992 |
Buprenorphine xr over 100 mg |
213 |
144 |
$2K |
| 99401 |
|
109 |
49 |
$2K |
| 80305 |
|
342 |
222 |
$2K |
| 80307 |
|
22 |
17 |
$744.47 |
| 99396 |
|
20 |
16 |
$730.95 |
| 87426 |
|
22 |
12 |
$676.77 |
| J1885 |
Ketorolac tromethamine inj |
1,336 |
798 |
$569.43 |
| H0015 |
Alcohol and/or drug services |
22 |
13 |
$430.00 |
| 87880 |
|
46 |
27 |
$408.19 |
| 81002 |
|
135 |
88 |
$209.52 |
| J3420 |
Vitamin b12 injection |
168 |
103 |
$168.34 |
| 81025 |
|
18 |
13 |
$87.53 |
| J0696 |
Ceftriaxone sodium injection |
107 |
66 |
$34.87 |
| J1010 |
Inj, methylpred acetate 1 mg |
15 |
12 |
$1.04 |
| H0039 |
Asser com tx face-face/15min |
67 |
52 |
$0.00 |