| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
42,132 |
34,165 |
$1.32M |
| 99214 |
|
30,614 |
24,124 |
$1.13M |
| 96110 |
|
7,456 |
6,413 |
$239K |
| 90460 |
|
5,166 |
4,297 |
$214K |
| 99392 |
|
2,910 |
2,587 |
$188K |
| 87502 |
|
2,367 |
2,033 |
$163K |
| 99391 |
|
2,541 |
2,163 |
$149K |
| 99393 |
|
2,231 |
1,960 |
$144K |
| G0467 |
Fqhc visit, estab pt |
9,766 |
7,031 |
$115K |
| 87651 |
|
3,869 |
3,330 |
$110K |
| 99212 |
|
3,417 |
3,037 |
$88K |
| 87428 |
|
1,743 |
1,398 |
$79K |
| 96372 |
|
5,938 |
4,051 |
$68K |
| 87636 |
|
706 |
582 |
$61K |
| 99394 |
|
814 |
698 |
$58K |
| 87635 |
|
859 |
738 |
$42K |
| 87634 |
|
647 |
554 |
$28K |
| 87811 |
|
1,823 |
1,496 |
$19K |
| 90834 |
|
616 |
383 |
$19K |
| 90471 |
|
1,382 |
1,129 |
$14K |
| 96160 |
|
1,498 |
1,282 |
$12K |
| 96127 |
|
3,291 |
2,918 |
$12K |
| 99215 |
Prolong outpt/office vis |
324 |
204 |
$10K |
| 87880 |
|
958 |
797 |
$9K |
| 90686 |
|
2,024 |
1,748 |
$9K |
| 3078F |
|
15,311 |
12,705 |
$8K |
| 3074F |
|
15,326 |
12,738 |
$8K |
| 3079F |
|
5,694 |
4,878 |
$5K |
| 87804 |
|
503 |
231 |
$5K |
| 99204 |
|
42 |
27 |
$3K |
| 71046 |
|
388 |
286 |
$3K |
| 90792 |
|
41 |
41 |
$3K |
| 96161 |
|
368 |
300 |
$3K |
| 3075F |
|
3,113 |
2,742 |
$3K |
| 3077F |
|
1,635 |
1,347 |
$2K |
| 99443 |
|
92 |
64 |
$2K |
| 87807 |
|
181 |
157 |
$2K |
| 99173 |
|
344 |
302 |
$2K |
| 90670 |
|
1,451 |
1,294 |
$2K |
| 81003 |
|
1,475 |
1,156 |
$1K |
| 1126F |
|
1,607 |
1,354 |
$1K |
| 99381 |
|
21 |
18 |
$1K |
| 3080F |
|
700 |
584 |
$1K |
| 94640 |
|
145 |
93 |
$1K |
| 90651 |
|
144 |
108 |
$1K |
| 99441 |
|
82 |
44 |
$926.38 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
71 |
68 |
$903.45 |
| 82306 |
|
94 |
83 |
$864.74 |
| 96374 |
|
36 |
18 |
$765.40 |
| 90710 |
|
163 |
135 |
$640.15 |
| 99202 |
|
21 |
16 |
$519.25 |
| 90619 |
|
33 |
26 |
$516.11 |
| J7030 |
Normal saline solution infus |
268 |
170 |
$475.34 |
| J1885 |
Ketorolac tromethamine inj |
385 |
308 |
$433.25 |
| 36415 |
|
962 |
824 |
$380.09 |
| 80053 |
|
123 |
99 |
$352.07 |
| J0696 |
Ceftriaxone sodium injection |
284 |
201 |
$318.20 |
| 96375 |
|
24 |
12 |
$312.31 |
| J1100 |
Dexamethasone sodium phos |
765 |
583 |
$308.89 |
| 90677 |
|
305 |
238 |
$298.04 |
| 80061 |
|
68 |
58 |
$289.53 |
| 81002 |
|
220 |
171 |
$287.90 |
| 99442 |
|
24 |
12 |
$260.64 |
| J1030 |
Methylprednisolone 40 mg inj |
50 |
40 |
$186.16 |
| 90472 |
|
71 |
31 |
$182.44 |
| 90715 |
|
14 |
14 |
$177.27 |
| 90723 |
|
450 |
372 |
$175.39 |
| 96361 |
|
22 |
12 |
$168.69 |
| 90697 |
|
575 |
482 |
$146.59 |
| 72100 |
|
17 |
13 |
$129.13 |
| 85025 |
|
30 |
21 |
$114.49 |
| 85027 |
|
72 |
62 |
$107.60 |
| 90647 |
|
484 |
419 |
$94.12 |
| J1010 |
Inj, methylpred acetate 1 mg |
17 |
12 |
$80.17 |
| 80305 |
|
22 |
13 |
$78.27 |
| 90633 |
|
345 |
302 |
$78.04 |
| 90688 |
|
38 |
34 |
$68.40 |
| 82044 |
|
31 |
22 |
$64.61 |
| 82570 |
|
31 |
22 |
$41.55 |
| G0008 |
Admin influenza virus vac |
205 |
168 |
$38.80 |
| 83036 |
|
14 |
12 |
$35.00 |
| 90461 |
|
27 |
15 |
$32.68 |
| J2405 |
Ondansetron hcl injection |
25 |
13 |
$2.36 |
| 3008F |
|
4,345 |
3,427 |
$0.02 |
| 90680 |
|
560 |
477 |
$0.00 |
| 1125F |
|
993 |
821 |
$0.00 |
| 90662 |
|
13 |
12 |
$0.00 |
| 90653 |
|
17 |
14 |
$0.00 |