| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,620 |
1,934 |
$77K |
| 99204 |
|
128 |
105 |
$10K |
| 99213 |
|
430 |
293 |
$7K |
| J3301 |
Triamcinolone acet inj nos |
606 |
455 |
$4K |
| 99308 |
|
819 |
256 |
$4K |
| 80305 |
|
857 |
681 |
$3K |
| 99203 |
|
38 |
32 |
$2K |
| 99307 |
|
175 |
80 |
$446.54 |
| 99305 |
|
44 |
24 |
$271.26 |
| 99309 |
|
148 |
26 |
$210.16 |
| J1100 |
Dexamethasone sodium phos |
76 |
50 |
$93.96 |
| G9903 |
Pt scrn tbco id as non user |
2,247 |
1,517 |
$49.03 |
| G8427 |
Docrev cur meds by elig clin |
3,903 |
2,537 |
$0.02 |
| G9902 |
Pt scrn tbco and id as user |
1,284 |
907 |
$0.00 |
| M1276 |
Calc bmi out nrm param nof/u |
34 |
32 |
$0.00 |
| G2199 |
Not scrn etoh no rsn |
2,631 |
1,665 |
$0.00 |
| G2197 |
Screen hlthy etoh use |
921 |
764 |
$0.00 |
| G9906 |
Pt recv tbco cess interv |
117 |
106 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
2,691 |
1,770 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
1,043 |
664 |
$0.00 |
| M1296 |
Calc bmi norm parameters |
12 |
12 |
$0.00 |
| G8952 |
Pre-htn/htn, no f/u, not gvn |
39 |
38 |
$0.00 |
| M1308 |
Flu immunize no admin |
39 |
38 |
$0.00 |
| G9990 |
No pneum vax admin 19+ |
539 |
142 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
136 |
96 |
$0.00 |
| G8482 |
Flu immunize order/admin |
214 |
123 |
$0.00 |
| G8484 |
Flu immunize no admin |
2,303 |
1,314 |
$0.00 |
| 99326 |
|
30 |
19 |
$0.00 |