| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,525 |
2,285 |
$216K |
| 99213 |
|
1,248 |
1,116 |
$90K |
| 99204 |
|
25 |
25 |
$3K |
| 72275 |
|
55 |
41 |
$3K |
| 64483 |
|
12 |
12 |
$3K |
| 64484 |
|
12 |
12 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
134 |
112 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
37 |
37 |
$522.11 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
54 |
41 |
$304.44 |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
19 |
19 |
$280.93 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
20 |
20 |
$262.80 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
53 |
51 |
$186.00 |
| 99409 |
|
36 |
36 |
$158.62 |
| H0049 |
Alcohol and/or drug screening |
32 |
32 |
$72.00 |