| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
167,425 |
63,375 |
$3.16M |
| 99384 |
|
14,116 |
12,104 |
$1.49M |
| 99203 |
|
1,060 |
943 |
$306K |
| 92552 |
|
16,359 |
16,347 |
$217K |
| A4267 |
Male condom |
6,094 |
6,094 |
$68K |
| 99394 |
|
1,856 |
1,850 |
$34K |
| 90686 |
|
5,328 |
5,314 |
$32K |
| 85018 |
|
17,359 |
17,339 |
$25K |
| 99393 |
|
1,533 |
1,532 |
$22K |
| 69205 |
|
229 |
228 |
$17K |
| J3250 |
Trimethobenzamide hcl inj |
1,798 |
1,498 |
$15K |
| 10061 |
|
167 |
167 |
$12K |
| S9445 |
Pt education noc individ |
936 |
936 |
$12K |
| 94640 |
|
2,505 |
2,460 |
$10K |
| 90674 |
|
1,344 |
1,344 |
$10K |
| 90715 |
|
999 |
999 |
$9K |
| 99392 |
|
352 |
351 |
$5K |
| 99211 |
|
76 |
76 |
$5K |
| 90734 |
|
779 |
779 |
$4K |
| 92060 |
|
3,201 |
3,194 |
$4K |
| J2405 |
Ondansetron hcl injection |
645 |
353 |
$3K |
| J3490 |
Drugs unclassified injection |
25 |
25 |
$3K |
| 12004 |
|
31 |
31 |
$3K |
| 99395 |
|
309 |
309 |
$2K |
| 86580 |
|
648 |
648 |
$2K |
| 97802 |
|
111 |
111 |
$2K |
| 3008F |
|
2,336 |
2,333 |
$2K |
| 90651 |
|
517 |
516 |
$2K |
| 92551 |
|
361 |
361 |
$2K |
| 54050 |
|
49 |
30 |
$2K |
| 99214 |
|
16 |
15 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
2,279 |
1,669 |
$1K |
| 90658 |
|
350 |
346 |
$1K |
| G8511 |
Scr dep pos, no plan doc rng |
55 |
55 |
$1K |
| G0270 |
Mnt subs tx for change dx |
2,332 |
2,328 |
$765.00 |
| G0447 |
Behavior counsel obesity 15m |
2,135 |
2,131 |
$752.19 |
| 90620 |
|
346 |
346 |
$739.00 |
| 90716 |
|
89 |
89 |
$675.00 |
| 81025 |
|
236 |
236 |
$660.31 |
| G0008 |
Admin influenza virus vac |
119 |
119 |
$650.73 |
| J0696 |
Ceftriaxone sodium injection |
315 |
243 |
$649.12 |
| 30901 |
|
12 |
12 |
$594.00 |
| 88150 |
|
57 |
57 |
$500.00 |
| 99396 |
|
53 |
53 |
$337.50 |
| 90471 |
|
122 |
120 |
$274.42 |
| 90649 |
|
121 |
121 |
$261.00 |
| 93000 |
|
40 |
40 |
$120.80 |
| 90707 |
|
27 |
27 |
$117.00 |
| 90744 |
|
12 |
12 |
$108.00 |
| 90756 |
|
216 |
216 |
$80.94 |
| J1100 |
Dexamethasone sodium phos |
1,424 |
1,206 |
$79.68 |
| 83655 |
|
15 |
15 |
$73.64 |
| 87426 |
|
48 |
48 |
$70.66 |
| 81002 |
|
32 |
32 |
$55.11 |
| 90670 |
|
12 |
12 |
$54.00 |
| 90662 |
|
87 |
87 |
$36.28 |
| 90700 |
|
12 |
12 |
$36.00 |
| 90688 |
|
135 |
135 |
$27.00 |
| 99000 |
|
13 |
13 |
$25.13 |
| 90656 |
|
14 |
14 |
$21.81 |
| J0690 |
Cefazolin sodium injection |
79 |
69 |
$15.41 |
| J1200 |
Diphenhydramine hcl injectio |
28 |
26 |
$9.80 |
| 92499 |
|
729 |
727 |
$1.52 |
| 90472 |
|
12 |
12 |
$0.00 |
| G9920 |
Scrning perf and negative |
993 |
988 |
$0.00 |
| 99173 |
|
344 |
343 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90685 |
|
27 |
27 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
430 |
424 |
$0.00 |
| S9451 |
Exercise class |
549 |
549 |
$0.00 |
| 81000 |
|
374 |
374 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |