| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
9,990 |
8,290 |
$542K |
| 99204 |
|
1,637 |
1,518 |
$141K |
| 93306 |
|
2,452 |
1,979 |
$125K |
| 78452 |
|
747 |
571 |
$87K |
| 99233 |
Prolong inpt eval add15 m |
2,073 |
561 |
$65K |
| 99223 |
Prolong inpt eval add15 m |
745 |
540 |
$59K |
| J2785 |
Regadenoson injection |
509 |
402 |
$55K |
| A9502 |
Tc99m tetrofosmin |
561 |
496 |
$43K |
| 93880 |
|
432 |
395 |
$32K |
| 95813 |
|
107 |
103 |
$29K |
| 95816 |
|
134 |
126 |
$24K |
| 93015 |
|
545 |
467 |
$22K |
| 99220 |
|
419 |
287 |
$19K |
| 93000 |
|
1,618 |
1,371 |
$16K |
| 99239 |
|
271 |
214 |
$14K |
| 99213 |
|
271 |
256 |
$11K |
| 99308 |
|
1,262 |
383 |
$9K |
| 93010 |
|
874 |
687 |
$6K |
| 99215 |
Prolong outpt/office vis |
99 |
74 |
$5K |
| 95909 |
|
52 |
47 |
$5K |
| 99217 |
|
226 |
154 |
$4K |
| 93224 |
|
52 |
48 |
$3K |
| 96372 |
|
309 |
235 |
$3K |
| 99222 |
|
36 |
29 |
$2K |
| 99232 |
|
47 |
14 |
$1K |
| 99238 |
|
34 |
25 |
$980.98 |
| 95923 |
|
17 |
15 |
$807.41 |
| J3301 |
Triamcinolone acet inj nos |
213 |
158 |
$773.72 |
| 99306 |
Prolong nursin fac eval 15m |
21 |
20 |
$536.36 |
| 93016 |
|
60 |
32 |
$314.83 |
| 99236 |
Prolong inpt eval add15 m |
20 |
19 |
$212.50 |
| 93018 |
|
64 |
34 |
$207.88 |
| J7050 |
Normal saline solution infus |
441 |
368 |
$111.88 |
| J0696 |
Ceftriaxone sodium injection |
99 |
79 |
$52.20 |
| G9695 |
Long act inhal bronchdil pre |
15 |
13 |
$0.00 |
| 99226 |
|
42 |
24 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
20 |
18 |
$0.00 |