| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
12,746 |
11,563 |
$571K |
| 99213 |
|
5,198 |
4,542 |
$157K |
| 99309 |
|
1,681 |
1,426 |
$24K |
| 99308 |
|
2,044 |
1,978 |
$23K |
| 80053 |
|
5,756 |
5,334 |
$14K |
| 85025 |
|
6,561 |
5,974 |
$13K |
| 96372 |
|
2,680 |
2,171 |
$13K |
| 99232 |
|
741 |
341 |
$10K |
| 80305 |
|
1,355 |
1,271 |
$10K |
| 36415 |
|
9,627 |
8,683 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
332 |
145 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
121 |
119 |
$6K |
| 99307 |
|
646 |
624 |
$5K |
| 87502 |
|
104 |
84 |
$4K |
| 84443 |
|
825 |
774 |
$3K |
| 87635 |
|
102 |
96 |
$3K |
| 80061 |
|
709 |
672 |
$3K |
| 83036 |
|
984 |
937 |
$2K |
| 99239 |
|
99 |
94 |
$2K |
| 99222 |
|
59 |
56 |
$2K |
| 84439 |
|
399 |
370 |
$814.57 |
| 99203 |
|
31 |
13 |
$665.31 |
| 81003 |
|
813 |
714 |
$531.48 |
| 99490 |
Ccm add 20min |
12 |
12 |
$496.78 |
| J1030 |
Methylprednisolone 40 mg inj |
470 |
395 |
$477.13 |
| 95251 |
|
158 |
150 |
$392.82 |
| 99238 |
|
59 |
49 |
$364.21 |
| G0108 |
Diab manage trn per indiv |
13 |
12 |
$361.38 |
| 87651 |
|
15 |
13 |
$283.68 |
| J0696 |
Ceftriaxone sodium injection |
269 |
198 |
$145.26 |
| J1100 |
Dexamethasone sodium phos |
1,190 |
978 |
$124.38 |
| 99441 |
|
17 |
12 |
$94.96 |
| 80048 |
|
74 |
57 |
$87.80 |
| G2211 |
Complex e/m visit add on |
30 |
25 |
$68.65 |
| 71046 |
|
46 |
25 |
$43.89 |
| G0008 |
Admin influenza virus vac |
35 |
32 |
$41.54 |
| 80306 |
|
14 |
13 |
$32.32 |
| 82607 |
|
12 |
12 |
$24.42 |
| J1200 |
Diphenhydramine hcl injectio |
13 |
13 |
$2.88 |
| J7030 |
Normal saline solution infus |
33 |
25 |
$2.00 |
| J1644 |
Inj heparin sodium per 1000u |
19 |
12 |
$0.00 |
| 99497 |
|
38 |
38 |
$0.00 |
| G0439 |
Ppps, subseq visit |
12 |
12 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
13 |
12 |
$0.00 |