| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
12,125 |
8,612 |
$322K |
| 99214 |
|
2,915 |
2,851 |
$127K |
| 96413 |
|
3,195 |
1,739 |
$109K |
| 99212 |
|
4,795 |
1,939 |
$67K |
| 96367 |
|
2,620 |
1,360 |
$43K |
| 99204 |
|
779 |
771 |
$38K |
| 96365 |
|
746 |
367 |
$25K |
| Q0084 |
Chemotherapy by infusion |
598 |
343 |
$15K |
| 96372 |
|
3,752 |
2,143 |
$15K |
| 96417 |
|
320 |
200 |
$12K |
| 99205 |
Prolong outpt/office vis |
183 |
180 |
$11K |
| 96415 |
|
660 |
380 |
$10K |
| 85025 |
|
6,424 |
5,155 |
$10K |
| 96401 |
|
420 |
210 |
$10K |
| 96361 |
|
1,525 |
739 |
$9K |
| 96375 |
|
836 |
466 |
$7K |
| 36593 |
|
645 |
406 |
$3K |
| 96360 |
|
265 |
154 |
$3K |
| G8427 |
Docrev cur meds by elig clin |
375 |
277 |
$3K |
| 36415 |
|
5,307 |
4,349 |
$2K |
| 96416 |
|
22 |
13 |
$2K |
| Q0081 |
Infusion ther other than che |
201 |
105 |
$2K |
| 96522 |
|
42 |
37 |
$1K |
| A4221 |
Supp non-insulin inf cath/wk |
1,591 |
762 |
$1K |
| A4222 |
Infusion supplies with pump |
688 |
383 |
$845.04 |
| 99195 |
|
33 |
26 |
$699.37 |
| 96411 |
|
21 |
12 |
$569.80 |
| 99442 |
|
16 |
16 |
$362.02 |
| J7050 |
Normal saline solution infus |
2,524 |
1,505 |
$289.87 |
| A4216 |
Sterile water/saline, 10 ml |
1,320 |
618 |
$192.14 |
| 96523 |
|
91 |
57 |
$52.55 |
| G2012 |
Brief check in by md/qhp |
26 |
26 |
$35.14 |
| J7120 |
Ringers lactate infusion |
52 |
28 |
$28.80 |
| J7060 |
5% dextrose/water |
22 |
12 |
$21.61 |
| J1626 |
Granisetron hcl injection |
104 |
60 |
$11.26 |
| J1200 |
Diphenhydramine hcl injectio |
378 |
247 |
$5.09 |
| J1100 |
Dexamethasone sodium phos |
146 |
89 |
$0.40 |
| J1642 |
Inj heparin sodium per 10 u |
130 |
96 |
$0.00 |
| 1126F |
|
138 |
138 |
$0.00 |
| 3074F |
|
73 |
73 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
36 |
36 |
$0.00 |
| 1036F |
|
136 |
136 |
$0.00 |
| G8418 |
Calc bmi blw low param f/u |
12 |
12 |
$0.00 |
| 3288F |
|
138 |
138 |
$0.00 |
| 3078F |
|
96 |
96 |
$0.00 |
| 1494F |
|
138 |
138 |
$0.00 |
| J0885 |
Epoetin alfa, non-esrd |
23 |
12 |
$0.00 |
| 99080 |
|
86 |
16 |
$0.00 |