| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
17,790 |
12,089 |
$1.54M |
| 99214 |
|
5,121 |
5,007 |
$638K |
| 96413 |
|
3,746 |
1,962 |
$501K |
| 96365 |
|
3,675 |
1,638 |
$274K |
| 99212 |
|
3,842 |
1,536 |
$211K |
| 96367 |
|
2,684 |
1,395 |
$189K |
| 99205 |
Prolong outpt/office vis |
832 |
830 |
$185K |
| 99204 |
|
722 |
721 |
$127K |
| 85025 |
|
18,251 |
14,886 |
$115K |
| 96522 |
|
795 |
415 |
$81K |
| 96417 |
|
571 |
332 |
$60K |
| 96361 |
|
3,765 |
1,662 |
$59K |
| 96372 |
|
3,697 |
1,799 |
$56K |
| 96360 |
|
1,275 |
597 |
$51K |
| A4221 |
Supp non-insulin inf cath/wk |
5,855 |
2,695 |
$51K |
| 36593 |
|
1,352 |
862 |
$46K |
| Q0081 |
Infusion ther other than che |
1,884 |
954 |
$37K |
| 96415 |
|
825 |
482 |
$36K |
| 96375 |
|
703 |
391 |
$29K |
| A4222 |
Infusion supplies with pump |
2,197 |
1,129 |
$23K |
| Q0084 |
Chemotherapy by infusion |
1,247 |
661 |
$19K |
| 36415 |
|
16,705 |
14,290 |
$13K |
| G0444 |
Depression screen annual |
867 |
862 |
$10K |
| 99442 |
|
179 |
179 |
$10K |
| 96401 |
|
173 |
157 |
$10K |
| 99406 |
|
497 |
471 |
$7K |
| H0001 |
Alcohol and/or drug assess |
658 |
655 |
$6K |
| G8510 |
Scr dep neg, no plan reqd |
615 |
611 |
$5K |
| G2012 |
Brief check in by md/qhp |
430 |
417 |
$5K |
| 96366 |
|
94 |
65 |
$2K |
| J1626 |
Granisetron hcl injection |
2,199 |
971 |
$2K |
| J7050 |
Normal saline solution infus |
3,044 |
1,789 |
$2K |
| 99497 |
|
32 |
31 |
$2K |
| 99245 |
|
14 |
14 |
$2K |
| 99195 |
|
18 |
13 |
$2K |
| 96523 |
|
2,122 |
1,047 |
$1K |
| A4216 |
Sterile water/saline, 10 ml |
4,268 |
1,866 |
$1K |
| J7120 |
Ringers lactate infusion |
422 |
191 |
$1K |
| G8427 |
Docrev cur meds by elig clin |
2,947 |
2,077 |
$889.00 |
| 96374 |
|
22 |
14 |
$868.13 |
| 3078F |
|
243 |
243 |
$460.00 |
| 3074F |
|
246 |
246 |
$449.00 |
| J1642 |
Inj heparin sodium per 10 u |
2,444 |
1,537 |
$367.02 |
| J1100 |
Dexamethasone sodium phos |
1,339 |
739 |
$235.05 |
| J7030 |
Normal saline solution infus |
103 |
49 |
$227.10 |
| S0028 |
Injection, famotidine, 20 mg |
1,394 |
678 |
$208.56 |
| J1200 |
Diphenhydramine hcl injectio |
3,189 |
1,705 |
$137.65 |
| H0002 |
Alcohol and/or drug screenin |
14 |
14 |
$75.00 |
| J7040 |
Normal saline solution infus |
34 |
13 |
$38.99 |
| J2916 |
Na ferric gluconate complex |
291 |
147 |
$4.28 |
| Q5101 |
Injection, zarxio |
742 |
239 |
$1.29 |
| 1126F |
|
331 |
330 |
$0.00 |
| 1000F |
|
192 |
191 |
$0.00 |
| 1036F |
|
391 |
389 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
444 |
440 |
$0.00 |
| G8418 |
Calc bmi blw low param f/u |
95 |
95 |
$0.00 |
| J1950 |
Leuprolide acetate /3.75 mg |
88 |
85 |
$0.00 |
| 3725F |
|
231 |
229 |
$0.00 |
| 3288F |
|
367 |
365 |
$0.00 |
| 1494F |
|
302 |
300 |
$0.00 |