| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
23,660 |
18,209 |
$963K |
| 99233 |
Prolong inpt eval add15 m |
29,024 |
7,009 |
$961K |
| 99310 |
Prolong nursin fac eval 15m |
14,315 |
3,939 |
$950K |
| 99309 |
|
27,077 |
8,434 |
$383K |
| J0696 |
Ceftriaxone sodium injection |
2,875 |
2,591 |
$316K |
| 99401 |
|
13,198 |
10,882 |
$282K |
| 99223 |
Prolong inpt eval add15 m |
4,471 |
3,964 |
$235K |
| 99213 |
|
3,465 |
3,084 |
$116K |
| 96372 |
|
11,088 |
9,634 |
$110K |
| 99239 |
|
3,247 |
2,911 |
$103K |
| 99232 |
|
6,512 |
1,310 |
$69K |
| J1040 |
Methylprednisolone 80 mg inj |
4,400 |
3,865 |
$65K |
| 99308 |
|
3,237 |
1,856 |
$59K |
| 99306 |
Prolong nursin fac eval 15m |
1,259 |
1,158 |
$56K |
| 93922 |
|
2,375 |
2,234 |
$52K |
| 93000 |
|
3,100 |
2,926 |
$33K |
| 99254 |
|
187 |
157 |
$29K |
| 92540 |
|
733 |
657 |
$20K |
| 92546 |
|
724 |
649 |
$18K |
| G0444 |
Depression screen annual |
2,223 |
2,160 |
$17K |
| 99396 |
|
263 |
249 |
$15K |
| G0442 |
Annual alcohol screen 15 min |
2,739 |
2,578 |
$13K |
| 99204 |
|
178 |
167 |
$13K |
| 93306 |
|
262 |
242 |
$12K |
| J3420 |
Vitamin b12 injection |
6,661 |
5,865 |
$8K |
| 99347 |
|
208 |
134 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
5,147 |
4,477 |
$7K |
| 99215 |
Prolong outpt/office vis |
124 |
104 |
$7K |
| 92537 |
|
792 |
660 |
$6K |
| 93925 |
|
129 |
113 |
$6K |
| 93880 |
|
194 |
172 |
$6K |
| 99336 |
|
88 |
87 |
$5K |
| 93970 |
|
145 |
129 |
$5K |
| 90756 |
|
278 |
258 |
$4K |
| 90471 |
|
358 |
327 |
$4K |
| 90674 |
|
226 |
218 |
$4K |
| J1010 |
Inj, methylpred acetate 1 mg |
268 |
229 |
$4K |
| 99349 |
|
85 |
68 |
$4K |
| 99354 |
|
78 |
75 |
$3K |
| 99395 |
|
14 |
14 |
$1K |
| 99335 |
|
33 |
32 |
$1K |
| 99222 |
|
39 |
37 |
$1K |
| 99220 |
|
15 |
15 |
$769.32 |
| 99496 |
|
13 |
12 |
$656.98 |
| 99316 |
|
32 |
27 |
$458.77 |
| 99348 |
|
13 |
12 |
$401.56 |
| 99326 |
|
23 |
22 |
$378.92 |
| 99334 |
|
16 |
15 |
$371.39 |
| 99490 |
Ccm add 20min |
300 |
300 |
$282.87 |
| 90688 |
|
17 |
17 |
$262.55 |
| 82962 |
|
451 |
370 |
$170.14 |
| G0008 |
Admin influenza virus vac |
130 |
128 |
$148.28 |
| G0439 |
Ppps, subseq visit |
70 |
65 |
$91.31 |
| 99072 |
|
1,036 |
913 |
$17.50 |
| 4004F |
|
201 |
200 |
$0.00 |
| 3077F |
|
1,767 |
1,417 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
8,404 |
6,846 |
$0.00 |
| G8752 |
Sys bp less 140 |
4,133 |
2,928 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
2,508 |
2,116 |
$0.00 |
| 3078F |
|
4,583 |
2,750 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
431 |
290 |
$0.00 |
| G0030 |
Pt scr tob & cess int |
67 |
53 |
$0.00 |
| 4040F |
|
29 |
26 |
$0.00 |
| 3008F |
|
12,669 |
10,134 |
$0.00 |
| 3079F |
|
1,756 |
1,400 |
$0.00 |
| G8754 |
Dias bp less 90 |
5,058 |
3,552 |
$0.00 |
| 3074F |
|
4,306 |
2,738 |
$0.00 |
| 3080F |
|
1,169 |
1,009 |
$0.00 |
| 1036F |
|
1,416 |
1,345 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
1,542 |
1,332 |
$0.00 |
| 3075F |
|
1,379 |
1,036 |
$0.00 |
| G9231 |
Doc esrd dia trans preg |
298 |
64 |
$0.00 |
| 3044F |
|
555 |
509 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
14 |
13 |
$0.00 |
| 3014F |
|
69 |
61 |
$0.00 |