| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
27,654 |
13,091 |
$1.19M |
| 99211 |
|
12,512 |
10,625 |
$243K |
| 73721 |
|
436 |
420 |
$111K |
| 97110 |
|
4,044 |
1,176 |
$111K |
| 97161 |
|
1,430 |
1,409 |
$87K |
| 72148 |
|
452 |
444 |
$78K |
| 72141 |
|
243 |
242 |
$61K |
| 64483 |
|
137 |
131 |
$55K |
| 97162 |
|
906 |
887 |
$53K |
| 99202 |
|
1,470 |
1,423 |
$50K |
| 73221 |
|
172 |
170 |
$41K |
| 20610 |
|
2,002 |
1,554 |
$37K |
| 97010 |
|
1,144 |
411 |
$20K |
| 99213 |
|
565 |
459 |
$19K |
| 64493 |
|
81 |
80 |
$19K |
| 73562 |
|
1,303 |
1,140 |
$18K |
| 97140 |
|
810 |
281 |
$17K |
| 73630 |
|
1,114 |
907 |
$12K |
| 99201 |
|
624 |
610 |
$12K |
| 72100 |
|
473 |
464 |
$10K |
| 73610 |
|
482 |
426 |
$8K |
| 97164 |
|
239 |
236 |
$8K |
| 99214 |
|
168 |
145 |
$8K |
| 95886 |
|
222 |
208 |
$8K |
| 73030 |
|
583 |
542 |
$8K |
| 72110 |
|
366 |
349 |
$8K |
| 98941 |
|
879 |
332 |
$7K |
| 93005 |
|
714 |
701 |
$7K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
13 |
13 |
$6K |
| 73502 |
|
329 |
315 |
$6K |
| 77067 |
|
71 |
71 |
$6K |
| M0243 |
Casirivi and imdevi inj |
15 |
15 |
$5K |
| 72040 |
|
326 |
316 |
$5K |
| 73130 |
|
414 |
318 |
$4K |
| J3301 |
Triamcinolone acet inj nos |
1,156 |
1,048 |
$4K |
| 98940 |
|
328 |
110 |
$4K |
| 76536 |
|
71 |
71 |
$3K |
| 11721 |
|
496 |
492 |
$3K |
| 73110 |
|
310 |
273 |
$3K |
| 72050 |
|
132 |
128 |
$3K |
| 99203 |
|
64 |
60 |
$3K |
| 20550 |
|
115 |
105 |
$3K |
| 71046 |
|
232 |
224 |
$3K |
| J1030 |
Methylprednisolone 40 mg inj |
569 |
551 |
$3K |
| 98942 |
|
644 |
298 |
$3K |
| 20552 |
|
104 |
103 |
$2K |
| 97163 |
|
48 |
48 |
$2K |
| 93306 |
|
29 |
27 |
$2K |
| S9470 |
Nutritional counseling, diet |
133 |
132 |
$2K |
| 99212 |
|
73 |
64 |
$2K |
| 77063 |
|
71 |
71 |
$2K |
| 20605 |
|
64 |
62 |
$1K |
| 90686 |
|
120 |
119 |
$1K |
| J7323 |
Euflexxa inj per dose |
18 |
12 |
$1K |
| 11056 |
|
94 |
92 |
$1K |
| 97112 |
|
64 |
27 |
$1K |
| 97165 |
|
18 |
18 |
$1K |
| G0008 |
Admin influenza virus vac |
98 |
97 |
$1K |
| J0702 |
Betamethasone acet&sod phosp |
178 |
173 |
$1K |
| 95909 |
|
26 |
26 |
$987.38 |
| 99195 |
|
93 |
90 |
$893.45 |
| 76700 |
|
13 |
12 |
$852.67 |
| 73560 |
|
61 |
52 |
$795.06 |
| 97166 |
|
12 |
12 |
$790.14 |
| 73080 |
|
73 |
68 |
$672.57 |
| G0463 |
Hospital outpt clinic visit |
1,480 |
1,243 |
$583.97 |
| 72070 |
|
32 |
31 |
$545.27 |
| 96372 |
|
41 |
39 |
$497.56 |
| J1040 |
Methylprednisolone 80 mg inj |
75 |
63 |
$480.25 |
| 73140 |
|
28 |
25 |
$249.75 |
| J2704 |
Inj, propofol, 10 mg |
775 |
400 |
$182.77 |
| Q3014 |
Telehealth facility fee |
206 |
168 |
$150.05 |
| J1100 |
Dexamethasone sodium phos |
513 |
390 |
$133.67 |
| 99221 |
|
14 |
14 |
$96.18 |
| 85025 |
|
13 |
12 |
$64.80 |
| J3490 |
Drugs unclassified injection |
22 |
13 |
$56.10 |
| 90471 |
|
20 |
19 |
$44.80 |
| J7120 |
Ringers lactate infusion |
114 |
95 |
$32.41 |
| 82947 |
|
13 |
13 |
$29.40 |
| J3010 |
Fentanyl citrate injection |
151 |
127 |
$20.37 |
| J1885 |
Ketorolac tromethamine inj |
34 |
27 |
$10.84 |
| J2250 |
Inj midazolam hydrochloride |
139 |
116 |
$4.15 |
| J2405 |
Ondansetron hcl injection |
49 |
42 |
$1.80 |