| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
23,631 |
19,566 |
$1.83M |
| 99214 |
|
8,911 |
7,193 |
$522K |
| 99212 |
|
1,659 |
1,395 |
$120K |
| G0467 |
Fqhc visit, estab pt |
7,962 |
5,656 |
$70K |
| 99203 |
|
751 |
670 |
$68K |
| 99384 |
|
407 |
310 |
$29K |
| 99394 |
|
277 |
239 |
$25K |
| D0140 |
|
272 |
241 |
$23K |
| 90837 |
|
320 |
183 |
$23K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
816 |
738 |
$10K |
| 90832 |
|
84 |
61 |
$9K |
| D0150 |
|
128 |
107 |
$9K |
| 99211 |
|
100 |
70 |
$6K |
| 99202 |
|
47 |
42 |
$4K |
| 36415 |
|
6,388 |
5,345 |
$4K |
| 87635 |
|
2,781 |
2,526 |
$3K |
| D7140 |
|
19 |
12 |
$2K |
| 99441 |
|
61 |
60 |
$1K |
| 87880 |
|
1,935 |
1,683 |
$674.67 |
| 99442 |
|
19 |
17 |
$659.78 |
| 90471 |
|
641 |
566 |
$472.88 |
| 90686 |
|
82 |
78 |
$460.34 |
| 81003 |
|
242 |
205 |
$365.38 |
| J1100 |
Dexamethasone sodium phos |
746 |
602 |
$238.89 |
| 99173 |
|
988 |
813 |
$231.80 |
| 87651 |
|
893 |
834 |
$219.58 |
| 87502 |
|
731 |
672 |
$216.80 |
| 0011A |
|
26 |
25 |
$190.82 |
| 0012A |
|
15 |
15 |
$186.93 |
| 83655 |
|
61 |
59 |
$180.00 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
59 |
42 |
$163.84 |
| 87804 |
|
2,111 |
933 |
$145.49 |
| J3490 |
Drugs unclassified injection |
157 |
139 |
$124.84 |
| 96160 |
|
482 |
381 |
$114.00 |
| D0220 |
|
13 |
12 |
$112.32 |
| 85018 |
|
822 |
649 |
$112.32 |
| G0008 |
Admin influenza virus vac |
233 |
158 |
$66.81 |
| J1885 |
Ketorolac tromethamine inj |
304 |
203 |
$49.56 |
| 81002 |
|
160 |
144 |
$29.59 |
| 83036 |
|
654 |
489 |
$15.00 |
| 96127 |
|
64 |
62 |
$11.84 |
| 3075F |
|
973 |
756 |
$0.01 |
| 3078F |
|
5,273 |
4,479 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
121 |
95 |
$0.00 |
| 1160F |
|
139 |
119 |
$0.00 |
| 90715 |
|
45 |
40 |
$0.00 |
| 1159F |
|
135 |
115 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
68 |
55 |
$0.00 |
| 3077F |
|
433 |
398 |
$0.00 |
| 3725F |
|
1,146 |
1,022 |
$0.00 |
| 90661 |
|
16 |
15 |
$0.00 |
| J0558 |
Peng benzathine/procaine inj |
23 |
14 |
$0.00 |
| 90756 |
|
47 |
45 |
$0.00 |
| 90472 |
|
12 |
12 |
$0.00 |
| 81025 |
|
88 |
77 |
$0.00 |
| 3008F |
|
3,301 |
2,902 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
332 |
272 |
$0.00 |
| 92551 |
|
939 |
761 |
$0.00 |
| 3074F |
|
5,295 |
4,581 |
$0.00 |
| 1125F |
|
300 |
278 |
$0.00 |
| 3079F |
|
1,289 |
1,165 |
$0.00 |
| 1126F |
|
918 |
819 |
$0.00 |
| G0481 |
Drug test def 8-14 classes |
222 |
135 |
$0.00 |
| Q2039 |
Influenza virus vaccine, nos |
234 |
157 |
$0.00 |
| 36416 |
|
391 |
271 |
$0.00 |
| 1036F |
|
972 |
856 |
$0.00 |
| 1034F |
|
323 |
275 |
$0.00 |
| 90674 |
|
84 |
75 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
13 |
12 |
$0.00 |
| 91301 |
|
98 |
96 |
$0.00 |
| 1220F |
|
16 |
15 |
$0.00 |
| 3080F |
|
42 |
39 |
$0.00 |