| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
|
17,321 |
15,357 |
$1.16M |
| 99213 |
|
16,926 |
15,317 |
$1.01M |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
5,945 |
5,809 |
$100K |
| 99307 |
|
3,388 |
3,248 |
$66K |
| 99214 |
|
688 |
652 |
$28K |
| 99308 |
|
397 |
268 |
$12K |
| J1885 |
Ketorolac tromethamine inj |
2,267 |
2,037 |
$10K |
| 99394 |
|
216 |
187 |
$6K |
| 99496 |
|
142 |
139 |
$6K |
| J1100 |
Dexamethasone sodium phos |
1,811 |
1,668 |
$4K |
| 99393 |
|
61 |
61 |
$2K |
| G2025 |
Dis site tele svcs rhc/fqhc |
93 |
92 |
$2K |
| J1030 |
Methylprednisolone 40 mg inj |
1,577 |
1,489 |
$1K |
| 90662 |
|
190 |
190 |
$469.07 |
| G0008 |
Admin influenza virus vac |
364 |
361 |
$156.16 |
| 81003 |
|
131 |
119 |
$133.34 |
| 90674 |
|
135 |
131 |
$115.10 |
| J0945 |
Brompheniramine maleate inj |
114 |
100 |
$76.08 |
| 92551 |
|
471 |
399 |
$21.07 |
| 81002 |
|
22 |
16 |
$3.13 |
| 96160 |
|
198 |
175 |
$2.88 |
| 99173 |
|
470 |
398 |
$0.00 |
| 90756 |
|
41 |
35 |
$0.00 |
| 99401 |
|
74 |
55 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
412 |
370 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
76 |
55 |
$0.00 |
| 96110 |
|
32 |
25 |
$0.00 |
| 85025 |
|
20 |
12 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
123 |
121 |
$0.00 |
| 85018 |
|
15 |
13 |
$0.00 |
| 36415 |
|
18 |
14 |
$0.00 |