| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
14,527 |
8,755 |
$384K |
| 99214 |
|
18,916 |
9,015 |
$319K |
| 99203 |
|
1,198 |
1,112 |
$140K |
| 99204 |
|
572 |
464 |
$95K |
| 73721 |
|
188 |
161 |
$39K |
| 20611 |
|
1,061 |
549 |
$29K |
| 73630 |
|
2,232 |
1,029 |
$18K |
| 95886 |
|
95 |
92 |
$15K |
| 73610 |
|
859 |
487 |
$13K |
| 73562 |
|
356 |
252 |
$10K |
| 72148 |
|
82 |
62 |
$9K |
| 20610 |
|
393 |
219 |
$7K |
| 72100 |
|
577 |
427 |
$5K |
| 73110 |
|
127 |
103 |
$5K |
| 95909 |
|
27 |
26 |
$5K |
| 73502 |
|
79 |
78 |
$4K |
| 73030 |
|
151 |
116 |
$4K |
| J3301 |
Triamcinolone acet inj nos |
234 |
231 |
$3K |
| 97140 |
|
10,430 |
1,861 |
$3K |
| G0283 |
Elec stim other than wound |
5,100 |
938 |
$3K |
| 62323 |
|
256 |
119 |
$3K |
| 97110 |
|
9,014 |
1,711 |
$3K |
| 73221 |
|
23 |
16 |
$3K |
| 73130 |
|
62 |
56 |
$2K |
| J1030 |
Methylprednisolone 40 mg inj |
924 |
390 |
$2K |
| L4387 |
Non-pneum walk boot pre ots |
13 |
13 |
$1K |
| 99212 |
|
354 |
186 |
$1K |
| J1010 |
Inj, methylpred acetate 1 mg |
564 |
285 |
$1K |
| L1902 |
Afo ankle gauntlet pre ots |
28 |
24 |
$1K |
| 72110 |
|
240 |
167 |
$1K |
| 96127 |
|
654 |
268 |
$587.11 |
| 97035 |
|
5,767 |
1,004 |
$348.70 |
| 97162 |
|
313 |
194 |
$210.23 |
| 73564 |
|
123 |
69 |
$162.32 |
| 99051 |
|
24 |
12 |
$75.60 |
| 97161 |
|
164 |
105 |
$63.98 |
| J0702 |
Betamethasone acet&sod phosp |
128 |
90 |
$56.26 |
| J1040 |
Methylprednisolone 80 mg inj |
34 |
12 |
$31.76 |
| 97014 |
|
583 |
175 |
$26.29 |
| 72170 |
|
54 |
41 |
$24.68 |
| 97010 |
|
2,254 |
564 |
$9.24 |
| 97113 |
|
149 |
37 |
$8.86 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
275 |
92 |
$4.26 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
148 |
66 |
$3.01 |
| 97164 |
|
20 |
12 |
$0.00 |
| 99024 |
|
304 |
278 |
$0.00 |