| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
13,179 |
7,415 |
$585K |
| 96367 |
|
18,778 |
4,791 |
$326K |
| 96365 |
|
14,039 |
4,610 |
$306K |
| 99213 |
|
8,980 |
3,685 |
$262K |
| 96361 |
|
22,531 |
6,644 |
$240K |
| 99233 |
Prolong inpt eval add15 m |
9,926 |
1,168 |
$159K |
| 96413 |
|
3,487 |
1,868 |
$81K |
| 99215 |
Prolong outpt/office vis |
1,593 |
1,358 |
$74K |
| J7040 |
Normal saline solution infus |
24,418 |
6,847 |
$57K |
| 85025 |
|
19,746 |
7,757 |
$47K |
| J2405 |
Ondansetron hcl injection |
20,870 |
5,102 |
$45K |
| 99000 |
|
8,783 |
3,658 |
$28K |
| 96375 |
|
1,687 |
672 |
$27K |
| 96372 |
|
3,588 |
2,193 |
$23K |
| 96360 |
|
1,115 |
808 |
$22K |
| 80048 |
|
14,030 |
6,771 |
$22K |
| 96415 |
|
717 |
389 |
$12K |
| 80076 |
|
10,949 |
6,311 |
$12K |
| J1100 |
Dexamethasone sodium phos |
3,671 |
1,706 |
$11K |
| J3490 |
Drugs unclassified injection |
10,047 |
2,721 |
$7K |
| J1200 |
Diphenhydramine hcl injectio |
1,675 |
595 |
$6K |
| 96417 |
|
264 |
144 |
$4K |
| 82378 |
|
1,640 |
1,561 |
$4K |
| 82306 |
|
849 |
837 |
$4K |
| 99222 |
|
313 |
287 |
$4K |
| 36415 |
|
7,372 |
3,624 |
$3K |
| 84443 |
|
1,369 |
1,340 |
$3K |
| G9903 |
Pt scrn tbco id as non user |
5,847 |
3,039 |
$2K |
| 96366 |
|
124 |
66 |
$1K |
| 99232 |
|
80 |
24 |
$1K |
| 99212 |
|
99 |
75 |
$1K |
| G8427 |
Docrev cur meds by elig clin |
6,652 |
3,473 |
$840.21 |
| J2780 |
Ranitidine hydrochloride inj |
77 |
42 |
$837.38 |
| 80061 |
|
445 |
437 |
$784.17 |
| G8510 |
Scr dep neg, no plan reqd |
4,843 |
3,013 |
$698.06 |
| 1036F |
|
3,534 |
1,780 |
$648.47 |
| J2270 |
Morphine sulfate injection |
121 |
52 |
$645.34 |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$642.00 |
| G8420 |
Calc bmi norm parameters |
4,247 |
2,233 |
$568.78 |
| J1170 |
Hydromorphone injection |
88 |
26 |
$409.51 |
| G8731 |
Pain neg no plan |
2,559 |
1,475 |
$355.56 |
| G9991 |
Pneum vax admin 19+ |
839 |
454 |
$350.76 |
| 84153 |
|
216 |
205 |
$311.02 |
| J3420 |
Vitamin b12 injection |
166 |
147 |
$216.59 |
| 3017F |
|
659 |
386 |
$131.36 |
| 1123F |
|
1,073 |
599 |
$37.14 |
| G8417 |
Calc bmi abv up param f/u |
1,289 |
704 |
$27.63 |
| 84403 |
|
14 |
14 |
$25.81 |
| G8482 |
Flu immunize order/admin |
416 |
271 |
$0.00 |
| G8730 |
Pain doc pos and plan |
981 |
556 |
$0.00 |
| G9899 |
Scrn mam perf rslts doc |
165 |
84 |
$0.00 |
| 4040F |
|
222 |
147 |
$0.00 |
| 1124F |
|
14 |
14 |
$0.00 |