| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
|
695 |
676 |
$68.90 |
| 99215 |
Prolong outpt/office vis |
4,280 |
3,751 |
$54.80 |
| 99391 |
|
2,539 |
2,251 |
$0.00 |
| 90472 |
|
3,186 |
3,089 |
$0.00 |
| 99490 |
Ccm add 20min |
411 |
396 |
$0.00 |
| 99203 |
|
2,899 |
2,790 |
$0.00 |
| 99212 |
|
6,191 |
4,675 |
$0.00 |
| 90715 |
|
247 |
244 |
$0.00 |
| 99392 |
|
2,149 |
2,120 |
$0.00 |
| 99393 |
|
1,255 |
1,232 |
$0.00 |
| 90837 |
|
1,726 |
969 |
$0.00 |
| 11721 |
|
311 |
305 |
$0.00 |
| 99394 |
|
899 |
885 |
$0.00 |
| 11720 |
|
41 |
40 |
$0.00 |
| 99173 |
|
289 |
283 |
$0.00 |
| 99307 |
|
321 |
317 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
39 |
39 |
$0.00 |
| 90791 |
|
129 |
128 |
$0.00 |
| 99395 |
|
39 |
38 |
$0.00 |
| 99442 |
|
41 |
38 |
$0.00 |
| 99396 |
|
25 |
24 |
$0.00 |
| 98968 |
|
47 |
30 |
$0.00 |
| 90685 |
|
39 |
38 |
$0.00 |
| 96381 |
|
12 |
12 |
$0.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
12 |
12 |
$0.00 |
| 96160 |
|
27 |
27 |
$0.00 |
| 17110 |
|
15 |
12 |
$0.00 |
| 99214 |
|
29,374 |
25,220 |
$0.00 |
| 96372 |
|
2,805 |
2,492 |
$0.00 |
| J2001 |
Lidocaine injection |
71 |
62 |
$0.00 |
| 99443 |
|
164 |
139 |
$0.00 |
| 96127 |
|
2,636 |
2,406 |
$0.00 |
| 96110 |
|
562 |
548 |
$0.00 |
| 90471 |
|
6,954 |
6,753 |
$0.00 |
| 90792 |
|
54 |
50 |
$0.00 |
| 99213 |
|
26,350 |
23,356 |
$0.00 |
| 90474 |
|
678 |
656 |
$0.00 |
| H0038 |
Self-help/peer svc per 15min |
17 |
17 |
$0.00 |
| 90686 |
|
922 |
903 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
33 |
29 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
32 |
28 |
$0.00 |
| 90834 |
|
682 |
441 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
964 |
873 |
$0.00 |
| 0012A |
|
119 |
119 |
$0.00 |
| 96161 |
|
986 |
890 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
42 |
41 |
$0.00 |
| 94640 |
|
16 |
13 |
$0.00 |
| 92551 |
|
13 |
13 |
$0.00 |
| 99406 |
|
74 |
70 |
$0.00 |
| J3490 |
Drugs unclassified injection |
96 |
92 |
$0.00 |
| 90732 |
|
28 |
28 |
$0.00 |
| 99202 |
|
78 |
77 |
$0.00 |
| 0011A |
|
119 |
118 |
$0.00 |
| 99309 |
|
63 |
60 |
$0.00 |
| 90480 |
|
14 |
14 |
$0.00 |
| 90656 |
|
29 |
29 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
36 |
34 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
16 |
12 |
$0.00 |
| 99441 |
|
13 |
12 |
$0.00 |
| 20610 |
|
15 |
12 |
$0.00 |
| J2002 |
Inj, lidocaine in d5w, 1 mg |
12 |
12 |
$0.00 |