| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
18,994 |
13,996 |
$2.32M |
| 0513F |
|
16 |
14 |
$120.00 |
| 99213 |
|
13,451 |
10,102 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
2,298 |
1,827 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
205 |
67 |
$0.00 |
| 99308 |
|
2,458 |
2,064 |
$0.00 |
| 3008F |
|
4,701 |
3,654 |
$0.00 |
| 96372 |
|
1,339 |
1,019 |
$0.00 |
| 99214 |
|
1,164 |
971 |
$0.00 |
| 82962 |
|
1,017 |
731 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
1,231 |
935 |
$0.00 |
| 36415 |
|
1,267 |
1,038 |
$0.00 |
| 92551 |
|
353 |
284 |
$0.00 |
| J3420 |
Vitamin b12 injection |
216 |
156 |
$0.00 |
| 85018 |
|
501 |
394 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
1,619 |
1,358 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
922 |
733 |
$0.00 |
| 93000 |
|
14 |
12 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
41 |
29 |
$0.00 |
| 90688 |
|
17 |
14 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
15 |
14 |
$0.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
2,540 |
2,452 |
$0.00 |
| 99212 |
|
3,413 |
2,852 |
$0.00 |
| 81003 |
|
2,208 |
1,604 |
$0.00 |
| 87880 |
|
2,730 |
1,938 |
$0.00 |
| 87804 |
|
1,020 |
767 |
$0.00 |
| 99173 |
|
358 |
293 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
443 |
371 |
$0.00 |
| 81025 |
|
572 |
496 |
$0.00 |
| 99394 |
|
50 |
29 |
$0.00 |
| 99392 |
|
32 |
29 |
$0.00 |
| 99203 |
|
13 |
12 |
$0.00 |
| 99188 |
|
118 |
89 |
$0.00 |
| 87400 |
|
53 |
44 |
$0.00 |
| 99393 |
|
50 |
39 |
$0.00 |
| 99391 |
|
31 |
13 |
$0.00 |