| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
|
2,516 |
2,491 |
$277K |
| 99393 |
|
2,424 |
2,420 |
$213K |
| 99395 |
|
2,315 |
2,314 |
$169K |
| 99242 |
|
1,901 |
1,751 |
$137K |
| 99497 |
|
1,337 |
1,334 |
$121K |
| 92552 |
|
3,284 |
3,273 |
$106K |
| 99392 |
|
1,228 |
1,216 |
$91K |
| G0442 |
Annual alcohol screen 15 min |
4,227 |
4,224 |
$89K |
| 99493 |
|
524 |
524 |
$82K |
| 99213 |
|
30,510 |
26,180 |
$65K |
| 99214 |
|
18,243 |
16,587 |
$64K |
| 90688 |
|
3,569 |
3,549 |
$61K |
| G8510 |
Scr dep neg, no plan reqd |
3,196 |
3,182 |
$49K |
| 99494 |
|
349 |
318 |
$43K |
| 90715 |
|
1,044 |
1,042 |
$33K |
| 90670 |
|
466 |
466 |
$25K |
| G9920 |
Scrning perf and negative |
587 |
587 |
$24K |
| 80305 |
|
2,583 |
2,420 |
$22K |
| 99173 |
|
3,201 |
3,192 |
$20K |
| 90686 |
|
992 |
992 |
$19K |
| 90651 |
|
692 |
692 |
$13K |
| 85018 |
|
5,828 |
5,792 |
$13K |
| 90658 |
|
660 |
659 |
$12K |
| 90734 |
|
564 |
564 |
$11K |
| 96110 |
|
93 |
92 |
$11K |
| 90656 |
|
405 |
405 |
$10K |
| 90620 |
|
431 |
431 |
$9K |
| 99203 |
|
149 |
148 |
$8K |
| 99245 |
|
47 |
47 |
$7K |
| 99391 |
|
93 |
93 |
$6K |
| G0446 |
Intens behave ther cardio dx |
173 |
171 |
$5K |
| G8431 |
Pos clin depres scrn f/u doc |
114 |
113 |
$5K |
| 99396 |
|
1,663 |
1,662 |
$5K |
| D1206 |
|
189 |
187 |
$4K |
| 85025 |
|
679 |
665 |
$4K |
| 99406 |
|
148 |
147 |
$2K |
| 90647 |
|
103 |
103 |
$2K |
| 81005 |
|
1,166 |
1,088 |
$2K |
| 96372 |
|
361 |
319 |
$2K |
| 99385 |
|
24 |
24 |
$1K |
| 99204 |
|
26 |
26 |
$1K |
| 86580 |
|
160 |
160 |
$969.93 |
| 99212 |
|
569 |
555 |
$784.94 |
| 90732 |
|
12 |
12 |
$621.90 |
| Q3014 |
Telehealth facility fee |
22 |
22 |
$525.00 |
| J1885 |
Ketorolac tromethamine inj |
122 |
112 |
$487.47 |
| 99215 |
Prolong outpt/office vis |
50 |
50 |
$482.66 |
| 90633 |
|
25 |
25 |
$450.00 |
| G9919 |
Scrn nd pos nd prov of rec |
13 |
13 |
$425.00 |
| 90723 |
|
24 |
24 |
$423.00 |
| 99188 |
|
15 |
15 |
$405.00 |
| 94664 |
|
27 |
27 |
$374.04 |
| 90714 |
|
13 |
13 |
$343.56 |
| G0447 |
Behavior counsel obesity 15m |
14 |
14 |
$300.51 |
| 93000 |
|
113 |
113 |
$298.15 |
| 87880 |
|
27 |
27 |
$278.91 |
| J1040 |
Methylprednisolone 80 mg inj |
26 |
24 |
$264.10 |
| 69210 |
|
13 |
13 |
$99.20 |
| G0444 |
Depression screen annual |
315 |
315 |
$49.10 |
| 99211 |
|
27 |
27 |
$36.00 |
| G2211 |
Complex e/m visit add on |
130 |
119 |
$34.36 |
| 94150 |
|
222 |
206 |
$25.05 |
| J7613 |
Albuterol non-comp unit |
30 |
30 |
$1.33 |
| 3078F |
|
3,422 |
3,006 |
$0.00 |
| 99397 |
|
39 |
39 |
$0.00 |
| 3077F |
|
416 |
376 |
$0.00 |
| 99199 |
|
82 |
82 |
$0.00 |
| 3079F |
|
1,715 |
1,565 |
$0.00 |
| 3074F |
|
3,976 |
3,419 |
$0.00 |
| 3080F |
|
147 |
138 |
$0.00 |
| G0008 |
Admin influenza virus vac |
728 |
725 |
$0.00 |
| 3075F |
|
948 |
895 |
$0.00 |
| G0439 |
Ppps, subseq visit |
444 |
444 |
$0.00 |