| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
68,728 |
47,937 |
$1.98M |
| 99215 |
Prolong outpt/office vis |
45,417 |
27,756 |
$1.45M |
| J2505 |
Injection, pegfilgrastim 6mg |
129 |
90 |
$444K |
| Q5111 |
Injection, udenyca 0.5 mg |
696 |
216 |
$424K |
| 85025 |
|
102,823 |
66,397 |
$318K |
| 99213 |
|
8,878 |
6,468 |
$212K |
| 99233 |
Prolong inpt eval add15 m |
7,695 |
2,289 |
$169K |
| 77427 |
|
1,648 |
558 |
$100K |
| 99232 |
|
3,730 |
1,270 |
$54K |
| 99204 |
|
681 |
527 |
$36K |
| 77014 |
|
2,295 |
159 |
$32K |
| 96413 |
|
629 |
353 |
$25K |
| 77334 |
|
246 |
125 |
$24K |
| 96367 |
|
1,037 |
511 |
$18K |
| 96372 |
|
3,117 |
1,347 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
382 |
294 |
$9K |
| G2211 |
Complex e/m visit add on |
12,621 |
7,369 |
$9K |
| 96365 |
|
277 |
157 |
$8K |
| 36415 |
|
30,837 |
18,448 |
$7K |
| 99222 |
|
180 |
161 |
$4K |
| 99205 |
Prolong outpt/office vis |
71 |
66 |
$4K |
| J1756 |
Iron sucrose injection |
56 |
32 |
$3K |
| 88185 |
|
28 |
27 |
$3K |
| 99291 |
|
31 |
12 |
$3K |
| 85027 |
|
1,193 |
853 |
$3K |
| 96375 |
|
173 |
105 |
$2K |
| 99231 |
|
71 |
38 |
$2K |
| 77300 |
|
14 |
12 |
$956.66 |
| 99203 |
|
12 |
12 |
$876.73 |
| 77263 |
|
18 |
12 |
$453.38 |
| 85097 |
|
20 |
14 |
$393.68 |
| 88184 |
|
28 |
27 |
$347.79 |
| 99459 |
|
46 |
44 |
$308.93 |
| G9678 |
Oncology care model service |
917 |
734 |
$184.00 |
| 88189 |
|
12 |
12 |
$146.88 |
| J1100 |
Dexamethasone sodium phos |
136 |
64 |
$121.78 |
| J1200 |
Diphenhydramine hcl injectio |
268 |
97 |
$107.19 |
| G0444 |
Depression screen annual |
19 |
14 |
$87.55 |
| S0028 |
Injection, famotidine, 20 mg |
40 |
24 |
$71.16 |
| J3420 |
Vitamin b12 injection |
90 |
51 |
$64.36 |
| J2405 |
Ondansetron hcl injection |
44 |
24 |
$34.56 |
| J3490 |
Drugs unclassified injection |
36 |
12 |
$3.00 |