| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
18,637 |
15,753 |
$738K |
| 99214 |
|
8,605 |
7,143 |
$501K |
| 99204 |
|
2,322 |
2,094 |
$179K |
| 99232 |
|
4,587 |
2,214 |
$108K |
| 31575 |
|
1,328 |
1,154 |
$81K |
| 99223 |
Prolong inpt eval add15 m |
1,087 |
1,014 |
$74K |
| 99203 |
|
1,342 |
1,255 |
$64K |
| 31231 |
|
822 |
716 |
$62K |
| 43239 |
|
773 |
686 |
$62K |
| 99238 |
|
1,919 |
1,758 |
$52K |
| 92557 |
|
1,373 |
1,222 |
$33K |
| 93010 |
|
4,435 |
3,912 |
$27K |
| 92567 |
|
2,760 |
2,437 |
$26K |
| 90792 |
|
305 |
234 |
$18K |
| 99222 |
|
338 |
312 |
$16K |
| 99231 |
|
952 |
485 |
$13K |
| 99239 |
|
325 |
250 |
$11K |
| 92504 |
|
767 |
702 |
$10K |
| 20610 |
|
314 |
219 |
$10K |
| 45380 |
|
51 |
50 |
$8K |
| 99212 |
|
301 |
267 |
$7K |
| 99395 |
|
85 |
77 |
$5K |
| 81025 |
|
853 |
762 |
$5K |
| 95117 |
|
551 |
267 |
$4K |
| 69210 |
|
243 |
209 |
$4K |
| H1000 |
Prenatal care atrisk assessm |
38 |
24 |
$4K |
| 90834 |
|
95 |
75 |
$3K |
| 43249 |
|
40 |
37 |
$2K |
| 93306 |
|
66 |
60 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 90833 |
|
84 |
79 |
$1K |
| J1050 |
Medroxyprogesterone acetate |
13 |
13 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
261 |
216 |
$1K |
| 59025 |
|
45 |
27 |
$971.71 |
| 99233 |
Prolong inpt eval add15 m |
24 |
12 |
$935.28 |
| J1030 |
Methylprednisolone 40 mg inj |
171 |
144 |
$809.44 |
| 78452 |
|
18 |
15 |
$740.30 |
| 93016 |
|
20 |
16 |
$309.04 |
| 96372 |
|
13 |
13 |
$195.23 |
| 93018 |
|
20 |
16 |
$184.96 |
| 92556 |
|
13 |
13 |
$141.31 |
| 92552 |
|
14 |
14 |
$119.03 |
| 81002 |
|
27 |
26 |
$43.61 |
| 36415 |
|
16 |
15 |
$24.75 |
| G8484 |
Flu immunize no admin |
28 |
26 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
119 |
114 |
$0.00 |
| 1036F |
|
27 |
26 |
$0.00 |
| 99024 |
|
89 |
71 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
13 |
12 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
15 |
12 |
$0.00 |