| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
639 |
577 |
$20K |
| 99213 |
|
6,685 |
6,445 |
$17K |
| 93000 |
|
494 |
492 |
$13K |
| 92551 |
|
844 |
829 |
$9K |
| 99212 |
|
6,924 |
6,477 |
$6K |
| 87635 |
|
550 |
522 |
$5K |
| 99441 |
|
189 |
178 |
$4K |
| 99396 |
|
775 |
775 |
$4K |
| 96372 |
|
4,219 |
3,813 |
$4K |
| 99443 |
|
129 |
116 |
$4K |
| J3420 |
Vitamin b12 injection |
1,575 |
1,478 |
$3K |
| 99395 |
|
709 |
708 |
$3K |
| 99211 |
|
3,344 |
3,066 |
$2K |
| G8431 |
Pos clin depres scrn f/u doc |
470 |
469 |
$2K |
| 87110 |
|
1,518 |
1,506 |
$2K |
| 99442 |
|
135 |
129 |
$2K |
| G9920 |
Scrning perf and negative |
293 |
293 |
$1K |
| 99203 |
|
84 |
80 |
$1K |
| 3008F |
|
4,835 |
4,790 |
$1K |
| 2001F |
|
270 |
270 |
$1K |
| G8510 |
Scr dep neg, no plan reqd |
301 |
301 |
$871.02 |
| H0049 |
Alcohol/drug screening |
73 |
73 |
$790.00 |
| 3078F |
|
970 |
961 |
$736.00 |
| 94760 |
|
89 |
89 |
$713.95 |
| 4019F |
|
179 |
179 |
$600.00 |
| 3074F |
|
1,006 |
999 |
$574.00 |
| 99499 |
|
2,450 |
2,404 |
$482.99 |
| G0447 |
Behavior counsel obesity 15m |
883 |
882 |
$455.59 |
| G8427 |
Docrev cur meds by elig clin |
64 |
64 |
$350.00 |
| J0696 |
Ceftriaxone sodium injection |
545 |
509 |
$338.08 |
| J1885 |
Ketorolac tromethamine inj |
351 |
324 |
$326.58 |
| 97802 |
|
882 |
881 |
$299.70 |
| G9903 |
Pt scrn tbco id as non user |
16 |
16 |
$261.00 |
| 94640 |
|
238 |
217 |
$224.22 |
| 1036F |
|
165 |
165 |
$212.00 |
| 3077F |
|
660 |
654 |
$205.00 |
| J1100 |
Dexamethasone sodium phos |
1,320 |
1,235 |
$175.26 |
| 96127 |
|
25 |
24 |
$162.49 |
| 81003 |
|
436 |
423 |
$156.64 |
| 93010 |
|
12 |
12 |
$146.16 |
| 90686 |
|
17 |
17 |
$117.48 |
| 3725F |
|
489 |
489 |
$110.00 |
| 99385 |
|
26 |
26 |
$86.40 |
| G0444 |
Depression screen annual |
36 |
32 |
$81.95 |
| J1200 |
Diphenhydramine hcl injectio |
96 |
92 |
$81.10 |
| 90657 |
|
12 |
12 |
$61.82 |
| 3079F |
|
576 |
575 |
$50.00 |
| 3080F |
|
293 |
291 |
$20.00 |
| 1170F |
|
147 |
147 |
$14.00 |
| 1160F |
|
136 |
136 |
$14.00 |
| 1159F |
|
136 |
136 |
$13.00 |
| 0521F |
|
150 |
149 |
$13.00 |
| 1157F |
|
100 |
100 |
$12.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
13 |
13 |
$11.22 |
| 1125F |
|
72 |
72 |
$10.00 |
| 1158F |
|
87 |
87 |
$7.00 |
| 3075F |
|
109 |
109 |
$1.00 |
| 1126F |
|
26 |
26 |
$0.00 |
| 1220F |
|
109 |
109 |
$0.00 |
| 85018 |
|
27 |
27 |
$0.00 |
| 90471 |
|
13 |
13 |
$0.00 |
| 0545F |
|
41 |
40 |
$0.00 |
| 4037F |
|
19 |
19 |
$0.00 |
| G0008 |
Admin influenza virus vac |
23 |
23 |
$0.00 |
| 3017F |
|
16 |
16 |
$0.00 |
| 99393 |
|
12 |
12 |
$0.00 |
| 99394 |
|
146 |
143 |
$0.00 |