| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
13,447 |
11,304 |
$545K |
| 99213 |
|
12,427 |
10,609 |
$386K |
| 96372 |
|
4,893 |
4,020 |
$77K |
| 90460 |
|
2,114 |
2,001 |
$58K |
| 87804 |
|
3,545 |
1,660 |
$48K |
| 99308 |
|
2,040 |
1,854 |
$44K |
| 99392 |
|
510 |
483 |
$36K |
| 99309 |
|
1,421 |
1,161 |
$33K |
| 99391 |
|
507 |
462 |
$30K |
| J0696 |
Ceftriaxone sodium injection |
928 |
819 |
$29K |
| 71046 |
|
1,464 |
1,311 |
$15K |
| J1100 |
Dexamethasone sodium phos |
2,364 |
2,065 |
$14K |
| 87880 |
|
983 |
893 |
$13K |
| 95115 |
|
1,019 |
376 |
$10K |
| 36415 |
|
2,766 |
2,387 |
$10K |
| 90632 |
|
195 |
189 |
$9K |
| 99393 |
|
110 |
104 |
$7K |
| 90670 |
|
434 |
386 |
$6K |
| 90471 |
|
430 |
417 |
$6K |
| 99394 |
|
96 |
89 |
$6K |
| 99318 |
|
173 |
159 |
$5K |
| 87807 |
|
352 |
316 |
$5K |
| 90688 |
|
446 |
429 |
$4K |
| 90633 |
|
718 |
617 |
$2K |
| 90723 |
|
250 |
213 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
419 |
350 |
$2K |
| 99305 |
|
133 |
98 |
$2K |
| 99441 |
|
268 |
242 |
$2K |
| J3420 |
Vitamin b12 injection |
564 |
338 |
$1K |
| 90648 |
|
437 |
392 |
$1K |
| 90686 |
|
216 |
210 |
$1K |
| 93000 |
|
93 |
86 |
$1K |
| 99396 |
|
12 |
12 |
$932.65 |
| 94640 |
|
89 |
79 |
$854.14 |
| 99442 |
|
38 |
38 |
$819.66 |
| 90710 |
|
30 |
30 |
$752.09 |
| 99212 |
|
32 |
26 |
$675.99 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$623.83 |
| 99415 |
Prolong outpt/office vis |
163 |
146 |
$586.56 |
| 74018 |
|
26 |
24 |
$345.80 |
| 92551 |
|
25 |
25 |
$272.34 |
| 90649 |
|
25 |
25 |
$247.42 |
| 99422 |
|
13 |
13 |
$232.70 |
| 81003 |
|
454 |
386 |
$225.72 |
| J2800 |
Methocarbamol injection |
51 |
38 |
$208.17 |
| 90734 |
|
15 |
15 |
$205.47 |
| 85610 |
|
69 |
38 |
$189.15 |
| 82962 |
|
47 |
40 |
$130.24 |
| 90696 |
|
13 |
13 |
$99.30 |
| J2930 |
Methylprednisolone injection |
13 |
13 |
$78.26 |
| G2012 |
Brief check in by md/qhp |
15 |
14 |
$45.11 |
| 85018 |
|
12 |
12 |
$28.28 |
| G8427 |
Docrev cur meds by elig clin |
2,676 |
1,885 |
$0.39 |
| G8752 |
Sys bp less 140 |
931 |
661 |
$0.00 |
| G9899 |
Scrn mam perf rslts doc |
221 |
158 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
19 |
13 |
$0.00 |
| 1090F |
|
264 |
177 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
113 |
73 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
1,177 |
819 |
$0.00 |
| G8432 |
Dep scr not doc, rng |
1,898 |
1,334 |
$0.00 |
| G8754 |
Dias bp less 90 |
1,539 |
1,055 |
$0.00 |
| 3017F |
|
1,402 |
990 |
$0.00 |
| 1101F |
|
524 |
340 |
$0.00 |
| G8536 |
No doc elder mal scrn |
799 |
518 |
$0.00 |
| G8428 |
Cur meds not document |
110 |
83 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
66 |
49 |
$0.00 |
| G0008 |
Admin influenza virus vac |
48 |
45 |
$0.00 |