| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64566 |
|
1,940 |
632 |
$295K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,549 |
1,465 |
$148K |
| 95971 |
|
1,206 |
385 |
$32K |
| 97026 |
|
1,929 |
634 |
$26K |
| L8606 |
Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies |
12 |
12 |
$8K |
| 51715 |
|
12 |
12 |
$3K |
| 97032 |
|
12 |
12 |
$134.39 |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
12 |
12 |
$0.00 |