| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
7,163 |
4,507 |
$129K |
| 99213 |
|
3,183 |
1,962 |
$57K |
| 93306 |
|
279 |
204 |
$14K |
| 78452 |
|
163 |
104 |
$13K |
| 99203 |
|
276 |
180 |
$11K |
| 95004 |
|
69 |
61 |
$11K |
| G0447 |
Behavior counsel obesity 15m |
2,117 |
990 |
$9K |
| A9502 |
Tc99m tetrofosmin |
146 |
92 |
$9K |
| 99490 |
Ccm add 20min |
2,305 |
2,026 |
$7K |
| 99497 |
|
496 |
213 |
$7K |
| 96372 |
|
1,169 |
629 |
$6K |
| 99204 |
|
144 |
88 |
$5K |
| 94010 |
|
622 |
363 |
$5K |
| 99215 |
Prolong outpt/office vis |
133 |
70 |
$4K |
| 93015 |
|
167 |
108 |
$3K |
| 99457 |
|
980 |
849 |
$3K |
| 90460 |
|
99 |
56 |
$3K |
| 99393 |
|
42 |
30 |
$3K |
| 93000 |
|
477 |
315 |
$3K |
| 36415 |
|
4,236 |
2,587 |
$3K |
| 71046 |
|
249 |
160 |
$2K |
| 96110 |
|
127 |
72 |
$2K |
| 99458 |
|
397 |
330 |
$2K |
| 99394 |
|
35 |
18 |
$2K |
| 99454 |
|
492 |
420 |
$2K |
| 87635 |
|
59 |
38 |
$2K |
| 0002A |
|
41 |
34 |
$2K |
| 90688 |
|
174 |
101 |
$1K |
| 99392 |
|
34 |
21 |
$1K |
| G0446 |
Intens behave ther cardio dx |
362 |
162 |
$1K |
| 87426 |
|
51 |
37 |
$1K |
| 80061 |
|
1,527 |
767 |
$966.70 |
| G0444 |
Depression screen annual |
537 |
269 |
$963.98 |
| 80053 |
|
1,900 |
980 |
$915.89 |
| 0001A |
|
23 |
18 |
$880.00 |
| 93922 |
|
74 |
41 |
$844.41 |
| G0442 |
Annual alcohol screen 15 min |
580 |
266 |
$726.66 |
| 99443 |
|
13 |
13 |
$722.61 |
| 95251 |
|
88 |
63 |
$597.05 |
| 82947 |
|
682 |
344 |
$589.25 |
| 20610 |
|
16 |
13 |
$478.01 |
| 82962 |
|
571 |
367 |
$463.09 |
| J1040 |
Methylprednisolone 80 mg inj |
133 |
66 |
$453.99 |
| 82306 |
|
455 |
204 |
$451.85 |
| J1245 |
Dipyridamole injection |
87 |
54 |
$438.22 |
| 83036 |
|
999 |
523 |
$395.41 |
| 92551 |
|
72 |
42 |
$355.34 |
| 84443 |
|
592 |
259 |
$285.93 |
| 90471 |
|
45 |
27 |
$267.24 |
| 96127 |
|
100 |
63 |
$266.14 |
| 93248 |
|
46 |
25 |
$251.11 |
| 3078F |
|
1,278 |
659 |
$240.00 |
| 93246 |
|
47 |
40 |
$227.15 |
| J0280 |
Aminophyllin 250 mg inj |
69 |
42 |
$195.64 |
| 99174 |
|
31 |
17 |
$170.41 |
| 85025 |
|
736 |
353 |
$160.43 |
| 73620 |
|
24 |
14 |
$160.28 |
| J0702 |
Betamethasone acet&sod phosp |
19 |
16 |
$141.68 |
| 94760 |
|
535 |
231 |
$130.90 |
| 3074F |
|
1,138 |
588 |
$130.00 |
| G2012 |
Brief check in by md/qhp |
16 |
16 |
$127.70 |
| 3079F |
|
663 |
318 |
$120.00 |
| 85018 |
|
83 |
52 |
$111.02 |
| 99173 |
|
68 |
41 |
$100.97 |
| 93242 |
|
15 |
14 |
$82.62 |
| 3075F |
|
611 |
291 |
$80.01 |
| 36416 |
|
143 |
66 |
$66.50 |
| 81003 |
|
74 |
53 |
$54.12 |
| J1100 |
Dexamethasone sodium phos |
256 |
134 |
$40.52 |
| G0008 |
Admin influenza virus vac |
31 |
27 |
$28.54 |
| 82043 |
|
217 |
90 |
$19.25 |
| J1030 |
Methylprednisolone 40 mg inj |
24 |
14 |
$19.17 |
| J1200 |
Diphenhydramine hcl injectio |
44 |
25 |
$17.51 |
| 96160 |
|
23 |
14 |
$15.16 |
| 85027 |
|
110 |
52 |
$13.55 |
| 84439 |
|
150 |
57 |
$9.85 |
| 3008F |
|
4,146 |
2,094 |
$7.40 |
| 1160F |
|
4,978 |
2,532 |
$5.30 |
| 99453 |
|
20 |
20 |
$5.10 |
| 84436 |
|
24 |
15 |
$0.35 |
| V5008 |
Hearing screening |
77 |
27 |
$0.14 |
| 91300 |
|
78 |
60 |
$0.11 |
| G8427 |
Docrev cur meds by elig clin |
5,496 |
2,917 |
$0.01 |
| 1036F |
|
92 |
50 |
$0.00 |
| 2000F |
|
1,975 |
1,058 |
$0.00 |
| 1126F |
|
255 |
113 |
$0.00 |
| 1170F |
|
391 |
193 |
$0.00 |
| 2010F |
|
382 |
198 |
$0.00 |
| 1000F |
|
138 |
52 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
149 |
83 |
$0.00 |
| 3044F |
|
21 |
13 |
$0.00 |
| G0439 |
Ppps, subseq visit |
40 |
30 |
$0.00 |
| 0001F |
|
37 |
30 |
$0.00 |
| G8754 |
Dias bp less 90 |
36 |
24 |
$0.00 |
| 3048F |
|
44 |
27 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
17 |
12 |
$0.00 |
| 1090F |
|
335 |
156 |
$0.00 |
| 1159F |
|
5,005 |
2,533 |
$0.00 |
| 1158F |
|
271 |
127 |
$0.00 |
| 1003F |
|
317 |
150 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
3,197 |
1,642 |
$0.00 |
| 3288F |
|
314 |
141 |
$0.00 |
| G8482 |
Flu immunize order/admin |
114 |
68 |
$0.00 |
| 3077F |
|
89 |
42 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
32 |
14 |
$0.00 |
| 1033F |
|
116 |
59 |
$0.00 |
| 99080 |
|
292 |
48 |
$0.00 |
| 90461 |
|
24 |
17 |
$0.00 |