| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
10,219 |
8,164 |
$392K |
| 99213 |
|
10,071 |
7,834 |
$241K |
| 99391 |
|
484 |
438 |
$25K |
| 99392 |
|
185 |
160 |
$8K |
| 90674 |
|
484 |
382 |
$4K |
| 99203 |
|
73 |
57 |
$3K |
| 87426 |
|
69 |
39 |
$1K |
| 99202 |
|
56 |
41 |
$1K |
| 87804 |
|
104 |
59 |
$1K |
| 99215 |
Prolong outpt/office vis |
19 |
15 |
$793.67 |
| 90686 |
|
95 |
89 |
$774.72 |
| 83036 |
|
253 |
179 |
$756.59 |
| J1885 |
Ketorolac tromethamine inj |
619 |
468 |
$635.55 |
| 99238 |
|
15 |
13 |
$580.80 |
| 99490 |
Ccm add 20min |
60 |
36 |
$400.57 |
| 87880 |
|
39 |
30 |
$391.29 |
| 87807 |
|
57 |
34 |
$351.53 |
| 99460 |
|
14 |
12 |
$324.48 |
| J0702 |
Betamethasone acet&sod phosp |
365 |
298 |
$173.88 |
| 94760 |
|
47 |
40 |
$136.00 |
| G0008 |
Admin influenza virus vac |
219 |
186 |
$126.54 |
| J0696 |
Ceftriaxone sodium injection |
15 |
13 |
$47.36 |
| G2211 |
Complex e/m visit add on |
67 |
52 |
$27.37 |
| 96127 |
|
275 |
224 |
$0.79 |
| 96372 |
|
123 |
98 |
$0.41 |
| 1000F |
|
100 |
92 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
650 |
552 |
$0.00 |
| 1036F |
|
262 |
222 |
$0.00 |
| 3014F |
|
317 |
272 |
$0.00 |
| 3044F |
|
318 |
264 |
$0.00 |
| G8754 |
Dias bp less 90 |
2,787 |
2,195 |
$0.00 |
| 3017F |
|
827 |
660 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
180 |
146 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
507 |
411 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
67 |
58 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
32 |
28 |
$0.00 |
| 3074F |
|
124 |
118 |
$0.00 |
| 3075F |
|
18 |
15 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |
| G8752 |
Sys bp less 140 |
2,398 |
1,903 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
50 |
43 |
$0.00 |
| G8482 |
Flu immunize order/admin |
1,741 |
1,361 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
135 |
122 |
$0.00 |
| 3015F |
|
264 |
212 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
1,001 |
875 |
$0.00 |
| 4040F |
|
630 |
459 |
$0.00 |
| 4004F |
|
260 |
233 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
511 |
430 |
$0.00 |
| 1160F |
|
30 |
26 |
$0.00 |
| G8506 |
Pt rec ace/arb |
77 |
48 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
1,053 |
835 |
$0.00 |
| 3288F |
|
98 |
82 |
$0.00 |
| 3078F |
|
177 |
164 |
$0.00 |
| 2022F |
|
320 |
263 |
$0.00 |
| G0444 |
Depression screen annual |
50 |
47 |
$0.00 |
| 3045F |
|
34 |
26 |
$0.00 |
| G9899 |
Scrn mam perf rslts doc |
46 |
40 |
$0.00 |
| 1159F |
|
30 |
26 |
$0.00 |