| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
14,457 |
11,575 |
$562K |
| 99457 |
|
2,495 |
2,283 |
$36K |
| 99204 |
|
219 |
219 |
$20K |
| 99490 |
Ccm add 20min |
1,422 |
1,362 |
$18K |
| 99215 |
Prolong outpt/office vis |
356 |
284 |
$16K |
| 99213 |
|
524 |
447 |
$13K |
| 96413 |
|
332 |
303 |
$11K |
| 94644 |
|
453 |
299 |
$9K |
| 20611 |
|
296 |
258 |
$8K |
| 95912 |
|
63 |
63 |
$7K |
| 94660 |
|
417 |
383 |
$7K |
| 94060 |
|
308 |
298 |
$7K |
| 94729 |
|
285 |
281 |
$6K |
| 94726 |
|
286 |
282 |
$6K |
| 96365 |
|
170 |
69 |
$4K |
| 96415 |
|
332 |
303 |
$4K |
| G0108 |
Diab manage trn per indiv |
145 |
129 |
$4K |
| 96372 |
|
542 |
426 |
$2K |
| 96367 |
|
173 |
109 |
$2K |
| 99212 |
|
127 |
110 |
$2K |
| 96366 |
|
80 |
29 |
$2K |
| 92512 |
|
60 |
59 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
266 |
232 |
$1K |
| G0447 |
Behavior counsel obesity 15m |
316 |
259 |
$1K |
| J1100 |
Dexamethasone sodium phos |
994 |
666 |
$869.65 |
| 94375 |
|
128 |
121 |
$661.67 |
| 94010 |
|
129 |
122 |
$572.08 |
| 94200 |
|
86 |
75 |
$534.32 |
| 93000 |
|
65 |
65 |
$468.79 |
| G0008 |
Admin influenza virus vac |
67 |
60 |
$369.28 |
| 1125F |
|
3,165 |
2,699 |
$173.00 |
| J7644 |
Ipratropium bromide non-comp |
303 |
189 |
$159.10 |
| J7613 |
Albuterol non-comp unit |
303 |
189 |
$156.02 |
| G0439 |
Ppps, subseq visit |
14 |
12 |
$148.04 |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
13 |
13 |
$113.20 |
| 99439 |
|
14 |
14 |
$100.86 |
| 90674 |
|
22 |
17 |
$93.00 |
| 99497 |
|
14 |
12 |
$86.72 |
| J1885 |
Ketorolac tromethamine inj |
57 |
52 |
$86.69 |
| 94150 |
|
65 |
61 |
$74.06 |
| J1956 |
Levofloxacin injection |
27 |
14 |
$40.23 |
| 90688 |
|
17 |
15 |
$31.86 |
| G0446 |
Intens behave ther cardio dx |
15 |
12 |
$14.35 |
| G0442 |
Annual alcohol screen 15 min |
15 |
12 |
$10.68 |
| J0696 |
Ceftriaxone sodium injection |
64 |
27 |
$4.20 |
| G8420 |
Calc bmi norm parameters |
955 |
824 |
$0.00 |
| 2000F |
|
621 |
580 |
$0.00 |
| 1036F |
|
2,444 |
2,003 |
$0.00 |
| 1126F |
|
82 |
75 |
$0.00 |
| 3080F |
|
88 |
84 |
$0.00 |
| 1123F |
|
14 |
12 |
$0.00 |
| G8754 |
Dias bp less 90 |
459 |
432 |
$0.00 |
| 1170F |
|
45 |
40 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
855 |
745 |
$0.00 |
| 3077F |
|
519 |
490 |
$0.00 |
| G8752 |
Sys bp less 140 |
1,255 |
1,087 |
$0.00 |
| G0444 |
Depression screen annual |
15 |
12 |
$0.00 |
| J1745 |
Infliximab not biosimil 10mg |
15 |
13 |
$0.00 |
| 3288F |
|
14 |
12 |
$0.00 |
| 1100F |
|
14 |
12 |
$0.00 |
| G8842 |
Ahi rdi rei doc win 2mo |
14 |
12 |
$0.00 |
| 0518F |
|
14 |
12 |
$0.00 |