| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
5,115 |
4,246 |
$191K |
| 99214 |
|
2,502 |
2,127 |
$152K |
| 80306 |
|
3,732 |
3,023 |
$28K |
| 20610 |
|
303 |
266 |
$5K |
| 96372 |
|
651 |
544 |
$3K |
| 80307 |
|
131 |
119 |
$3K |
| 20553 |
|
149 |
128 |
$3K |
| G0182 |
Hospice care supervision |
100 |
100 |
$2K |
| 99215 |
Prolong outpt/office vis |
16 |
13 |
$2K |
| 99396 |
|
12 |
12 |
$809.01 |
| 99497 |
|
33 |
33 |
$806.78 |
| J7321 |
Hyalgan supartz visco-3 dose |
33 |
27 |
$762.27 |
| 99457 |
|
116 |
109 |
$680.79 |
| 96130 |
|
12 |
12 |
$675.48 |
| J3301 |
Triamcinolone acet inj nos |
263 |
223 |
$472.34 |
| 80305 |
|
216 |
192 |
$411.54 |
| J1885 |
Ketorolac tromethamine inj |
330 |
282 |
$369.32 |
| 97750 |
|
28 |
28 |
$198.97 |
| 99406 |
|
12 |
12 |
$80.22 |
| G8417 |
Calc bmi abv up param f/u |
5,039 |
4,011 |
$0.00 |
| G8752 |
Sys bp less 140 |
38 |
30 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
279 |
240 |
$0.00 |
| G0444 |
Depression screen annual |
30 |
30 |
$0.00 |
| 3288F |
|
18 |
17 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
972 |
764 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
12 |
12 |
$0.00 |
| 3075F |
|
13 |
13 |
$0.00 |
| G8418 |
Calc bmi blw low param f/u |
15 |
14 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
25 |
25 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
17 |
15 |
$0.00 |