| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
5,490 |
4,686 |
$16K |
| 96372 |
|
2,220 |
1,806 |
$6K |
| 99307 |
|
1,098 |
947 |
$2K |
| 99212 |
|
109 |
99 |
$374.24 |
| 99214 |
|
59 |
49 |
$180.68 |
| 80061 |
|
471 |
436 |
$160.89 |
| 84439 |
|
63 |
50 |
$53.28 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
309 |
255 |
$51.95 |
| 90662 |
|
166 |
154 |
$26.10 |
| 80053 |
|
357 |
343 |
$24.82 |
| 84436 |
|
447 |
420 |
$21.64 |
| 85025 |
|
553 |
505 |
$18.18 |
| 84479 |
|
405 |
383 |
$13.86 |
| G0008 |
Administration of influenza virus vaccine |
304 |
284 |
$13.05 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
143 |
127 |
$9.24 |
| 36415 |
|
920 |
830 |
$8.78 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
29 |
27 |
$6.59 |
| 84443 |
|
353 |
335 |
$5.88 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
15 |
13 |
$3.06 |
| 83721 |
|
323 |
308 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
55 |
52 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |