| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
5,862 |
4,933 |
$284K |
| 64483 |
|
413 |
357 |
$43K |
| 99204 |
|
359 |
340 |
$30K |
| 72100 |
|
321 |
258 |
$6K |
| 95886 |
|
81 |
72 |
$4K |
| 72110 |
|
51 |
50 |
$1K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,176 |
1,027 |
$1K |
| 64484 |
|
25 |
24 |
$967.27 |
| J3301 |
Triamcinolone acet inj nos |
211 |
181 |
$712.93 |
| J1100 |
Dexamethasone sodium phos |
1,862 |
1,594 |
$656.66 |
| 27096 |
|
13 |
12 |
$632.57 |
| 72114 |
|
14 |
14 |
$527.68 |
| 20550 |
|
25 |
24 |
$222.78 |
| 20552 |
|
14 |
14 |
$182.97 |
| J1030 |
Methylprednisolone 40 mg inj |
46 |
44 |
$119.56 |
| J1040 |
Methylprednisolone 80 mg inj |
22 |
13 |
$72.59 |
| G8541 |
No doc cur funct assess |
478 |
443 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
549 |
506 |
$0.00 |
| G8509 |
Pos pain assess no f/u doc |
197 |
182 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
190 |
175 |
$0.00 |
| G8484 |
Flu immunize no admin |
32 |
29 |
$0.00 |
| 3017F |
|
202 |
192 |
$0.00 |
| G8432 |
Dep scr not doc, rng |
104 |
99 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
102 |
96 |
$0.00 |
| 1036F |
|
159 |
150 |
$0.00 |
| G8756 |
No bp measure doc |
82 |
78 |
$0.00 |
| G8732 |
No doc of pain |
14 |
14 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
13 |
12 |
$0.00 |