| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
6,095 |
5,132 |
$93K |
| 80307 |
|
1,909 |
1,621 |
$30K |
| 80337 |
|
40 |
39 |
$4K |
| 80372 |
|
304 |
267 |
$3K |
| 80373 |
|
304 |
267 |
$3K |
| 99204 |
|
35 |
30 |
$2K |
| 80320 |
|
409 |
308 |
$2K |
| 80363 |
|
304 |
267 |
$2K |
| 80361 |
|
307 |
268 |
$1K |
| 80356 |
|
307 |
268 |
$1K |
| 80321 |
|
40 |
39 |
$1K |
| 80353 |
|
71 |
64 |
$1K |
| 80345 |
|
40 |
39 |
$1K |
| 80358 |
|
307 |
268 |
$1K |
| 80365 |
|
304 |
267 |
$1K |
| 80354 |
|
305 |
267 |
$1K |
| 80348 |
|
304 |
267 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
246 |
220 |
$1K |
| 80368 |
|
40 |
39 |
$952.56 |
| 80369 |
|
125 |
107 |
$952.56 |
| 80355 |
|
131 |
116 |
$952.56 |
| 80366 |
|
55 |
52 |
$952.56 |
| 80359 |
|
84 |
76 |
$882.00 |
| 80371 |
|
40 |
39 |
$882.00 |
| 80352 |
|
56 |
51 |
$882.00 |
| 80349 |
|
71 |
64 |
$882.00 |
| 80346 |
|
66 |
63 |
$882.00 |
| 80360 |
|
82 |
75 |
$882.00 |
| 80325 |
|
82 |
75 |
$882.00 |
| 83992 |
|
71 |
64 |
$490.00 |
| A4212 |
Non coring needle or stylet |
256 |
229 |
$202.83 |
| 99211 |
|
28 |
24 |
$28.34 |
| J1885 |
Ketorolac tromethamine inj |
159 |
145 |
$23.42 |
| 1036F |
|
71 |
33 |
$0.00 |
| 1006F |
|
814 |
710 |
$0.00 |
| G8432 |
Dep scr not doc, rng |
1,932 |
1,665 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
1,056 |
945 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
72 |
49 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
863 |
780 |
$0.00 |
| 80367 |
|
304 |
267 |
$0.00 |
| G9717 |
Doc pt dx bipol |
368 |
338 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
1,901 |
1,627 |
$0.00 |
| G8484 |
Flu immunize no admin |
630 |
514 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
1,718 |
1,519 |
$0.00 |
| A4550 |
Surgical trays |
248 |
220 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
220 |
198 |
$0.00 |
| G8730 |
Pain doc pos and plan |
1,919 |
1,678 |
$0.00 |
| 4004F |
|
66 |
34 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
14 |
14 |
$0.00 |