| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
9,694 |
6,583 |
$446K |
| 96372 |
|
7,496 |
3,326 |
$73K |
| J1040 |
Methylprednisolone 80 mg inj |
2,856 |
2,095 |
$12K |
| 99231 |
|
101 |
27 |
$2K |
| J2010 |
Lincomycin injection |
437 |
286 |
$2K |
| 90471 |
|
153 |
116 |
$2K |
| 99222 |
|
18 |
13 |
$809.93 |
| 90658 |
|
54 |
44 |
$651.66 |
| 99238 |
|
16 |
12 |
$648.75 |
| J1885 |
Ketorolac tromethamine inj |
1,927 |
1,453 |
$557.10 |
| J0696 |
Ceftriaxone sodium injection |
942 |
693 |
$293.70 |
| G2012 |
Brief check in by md/qhp |
63 |
45 |
$261.08 |
| 90686 |
|
19 |
15 |
$252.86 |
| J1010 |
Inj, methylpred acetate 1 mg |
205 |
154 |
$201.93 |
| J1100 |
Dexamethasone sodium phos |
429 |
289 |
$28.18 |
| G8419 |
Calc bmi out nrm param nof/u |
174 |
131 |
$0.00 |
| G8732 |
No doc of pain |
249 |
188 |
$0.00 |
| G8428 |
Cur meds not document |
132 |
105 |
$0.00 |
| 1036F |
|
76 |
52 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
14 |
12 |
$0.00 |
| G8482 |
Flu immunize order/admin |
67 |
43 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
56 |
30 |
$0.00 |
| G8484 |
Flu immunize no admin |
13 |
12 |
$0.00 |