| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
5,916 |
4,760 |
$215K |
| 99213 |
|
9,598 |
7,428 |
$202K |
| 99204 |
|
1,963 |
1,612 |
$131K |
| 99203 |
|
1,853 |
1,657 |
$99K |
| 20610 |
|
4,174 |
2,590 |
$95K |
| J1040 |
Methylprednisolone 80 mg inj |
3,133 |
2,382 |
$40K |
| 77067 |
|
1,721 |
1,667 |
$33K |
| 74177 |
|
502 |
476 |
$23K |
| 74176 |
|
566 |
514 |
$21K |
| 99215 |
Prolong outpt/office vis |
463 |
320 |
$16K |
| 20550 |
|
984 |
663 |
$16K |
| 99212 |
|
1,069 |
837 |
$15K |
| 70450 |
|
724 |
657 |
$12K |
| 76642 |
|
634 |
529 |
$11K |
| 77065 |
Tomosynthesis, mammo |
545 |
497 |
$10K |
| 76705 |
|
632 |
584 |
$10K |
| 71045 |
|
3,158 |
2,467 |
$10K |
| 20551 |
|
505 |
320 |
$9K |
| 96372 |
|
598 |
472 |
$9K |
| 36415 |
|
2,359 |
1,786 |
$9K |
| 99205 |
Prolong outpt/office vis |
96 |
80 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
268 |
97 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
112 |
85 |
$6K |
| 71046 |
|
1,218 |
1,131 |
$6K |
| 76536 |
|
384 |
356 |
$6K |
| 93306 |
|
331 |
209 |
$5K |
| 73564 |
|
881 |
688 |
$5K |
| 73610 |
|
645 |
561 |
$3K |
| 77066 |
Tomosynthesis, mammo |
94 |
80 |
$3K |
| 73110 |
|
515 |
419 |
$3K |
| 87804 |
|
297 |
187 |
$2K |
| 73030 |
|
517 |
446 |
$2K |
| 72148 |
|
41 |
39 |
$2K |
| 99232 |
|
71 |
40 |
$2K |
| 99051 |
|
580 |
421 |
$2K |
| 71260 |
|
53 |
45 |
$1K |
| 43239 |
|
18 |
15 |
$1K |
| 87880 |
|
292 |
226 |
$1K |
| 73630 |
|
260 |
219 |
$1K |
| 73130 |
|
223 |
189 |
$1K |
| 99202 |
|
50 |
49 |
$1K |
| 99406 |
|
223 |
161 |
$1K |
| 78452 |
|
43 |
27 |
$997.27 |
| 73721 |
|
27 |
25 |
$994.88 |
| 70553 |
|
18 |
15 |
$987.30 |
| 71250 |
|
59 |
52 |
$971.90 |
| 90686 |
|
112 |
96 |
$873.05 |
| 90471 |
|
68 |
65 |
$871.08 |
| 81000 |
|
830 |
615 |
$822.71 |
| 99211 |
|
106 |
73 |
$814.05 |
| 96127 |
|
292 |
234 |
$620.63 |
| 51701 |
|
16 |
13 |
$567.34 |
| 93971 |
|
32 |
27 |
$410.19 |
| 76775 |
|
16 |
14 |
$214.79 |
| J1100 |
Dexamethasone sodium phos |
229 |
196 |
$211.30 |
| 99490 |
Ccm add 20min |
99 |
70 |
$174.13 |
| 74220 |
|
12 |
12 |
$173.78 |
| J1885 |
Ketorolac tromethamine inj |
206 |
177 |
$160.06 |
| 76000 |
|
53 |
42 |
$159.40 |
| 73562 |
|
34 |
25 |
$157.30 |
| 73502 |
|
18 |
14 |
$73.62 |
| 73080 |
|
13 |
13 |
$59.76 |
| 73090 |
|
17 |
14 |
$55.26 |
| 93018 |
|
43 |
27 |
$43.31 |
| 93010 |
|
28 |
27 |
$42.57 |
| J0696 |
Ceftriaxone sodium injection |
35 |
29 |
$27.55 |
| 3045F |
|
204 |
155 |
$20.00 |
| G9551 |
Imag no les |
477 |
427 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
556 |
489 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
415 |
382 |
$0.00 |
| 4004F |
|
967 |
830 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
3,353 |
2,766 |
$0.00 |
| G8752 |
Sys bp less 140 |
1,702 |
1,460 |
$0.00 |
| G8482 |
Flu immunize order/admin |
394 |
349 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
2,633 |
2,167 |
$0.00 |
| 3288F |
|
69 |
53 |
$0.00 |
| G9899 |
Scrn mam perf rslts doc |
50 |
40 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
14 |
14 |
$0.00 |
| 3342F |
|
18 |
13 |
$0.00 |
| 3008F |
|
112 |
97 |
$0.00 |
| 7025F |
|
170 |
159 |
$0.00 |
| 3017F |
|
575 |
468 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
2,637 |
2,256 |
$0.00 |
| G9637 |
Doc >1 dose reduc tech |
882 |
741 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
310 |
273 |
$0.00 |
| G8754 |
Dias bp less 90 |
1,867 |
1,601 |
$0.00 |
| G9716 |
Bmi doc onl fup not cmpltd |
699 |
575 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
2,023 |
1,743 |
$0.00 |
| 99024 |
|
52 |
37 |
$0.00 |
| 3044F |
|
201 |
163 |
$0.00 |
| J1094 |
Inj dexamethasone acetate |
39 |
30 |
$0.00 |
| 1036F |
|
1,864 |
1,560 |
$0.00 |
| 3014F |
|
93 |
71 |
$0.00 |
| G8950 |
Pre-htn or htn doc, f/u indc |
248 |
152 |
$0.00 |
| G9557 |
Ct/cta/mri/a no thyr <1.0cm |
95 |
86 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
40 |
38 |
$0.00 |
| G9717 |
Doc pt dx bipol |
215 |
168 |
$0.00 |