| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
13,030 |
11,297 |
$519K |
| 99204 |
|
3,063 |
2,739 |
$248K |
| 99213 |
|
4,401 |
4,009 |
$139K |
| 20610 |
|
658 |
555 |
$22K |
| 96372 |
|
1,017 |
888 |
$11K |
| J3301 |
Triamcinolone acet inj nos |
724 |
621 |
$4K |
| J1100 |
Dexamethasone sodium phos |
793 |
699 |
$500.62 |
| G0499 |
Hepb screen high risk indiv |
25 |
23 |
$170.75 |
| J1885 |
Ketorolac tromethamine inj |
42 |
36 |
$33.93 |
| 3074F |
|
389 |
345 |
$1.60 |
| 3079F |
|
213 |
189 |
$0.83 |
| 3078F |
|
163 |
140 |
$0.54 |
| 3080F |
|
99 |
81 |
$0.32 |
| 3077F |
|
68 |
62 |
$0.24 |
| 3075F |
|
50 |
41 |
$0.17 |
| 1170F |
|
41 |
28 |
$0.11 |
| G9902 |
Pt scrn tbco and id as user |
2,036 |
1,692 |
$0.01 |
| G8420 |
Calc bmi norm parameters |
928 |
776 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
211 |
174 |
$0.00 |
| M1003 |
Tb scr 12 mo pri fst bio dz |
225 |
184 |
$0.00 |
| 3471F |
|
172 |
140 |
$0.00 |
| M1007 |
>=50% total pt outpt ra enct |
415 |
339 |
$0.00 |
| G9906 |
Pt recv tbco cess interv |
104 |
81 |
$0.00 |
| G2112 |
Pred<=5 mg ra glu <6m |
239 |
202 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
5,340 |
4,547 |
$0.00 |
| 3472F |
|
14 |
12 |
$0.00 |
| 4192F |
|
163 |
125 |
$0.00 |
| 3470F |
|
45 |
36 |
$0.00 |
| G8399 |
Pt w/dxa results document |
17 |
12 |
$0.00 |