| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
99,691 |
60,672 |
$12.93M |
| 92551 |
|
1,515 |
1,174 |
$7.91 |
| 99391 |
|
1,310 |
1,003 |
$0.01 |
| 99213 |
|
43,122 |
28,678 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
6,797 |
4,696 |
$0.00 |
| 90471 |
|
3,583 |
2,830 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
3,144 |
2,388 |
$0.00 |
| 90744 |
|
180 |
152 |
$0.00 |
| 90698 |
|
682 |
570 |
$0.00 |
| 90697 |
|
245 |
212 |
$0.00 |
| 90619 |
|
78 |
68 |
$0.00 |
| 99214 |
|
1,303 |
1,028 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
601 |
368 |
$0.00 |
| 90696 |
|
78 |
67 |
$0.00 |
| 90716 |
|
16 |
14 |
$0.00 |
| 90680 |
|
337 |
303 |
$0.00 |
| J1094 |
Inj dexamethasone acetate |
63 |
58 |
$0.00 |
| 82962 |
|
358 |
240 |
$0.00 |
| 90656 |
|
40 |
35 |
$0.00 |
| 99202 |
|
201 |
172 |
$0.00 |
| 90733 |
|
47 |
38 |
$0.00 |
| 90651 |
|
220 |
191 |
$0.00 |
| 90686 |
|
32 |
21 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
28 |
14 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
142 |
83 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
196 |
90 |
$0.00 |
| 99173 |
|
2,911 |
2,144 |
$0.00 |
| 81002 |
|
100 |
73 |
$0.00 |
| 99212 |
|
50,492 |
33,319 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
80 |
75 |
$0.00 |
| 90670 |
|
1,585 |
1,271 |
$0.00 |
| 90710 |
|
470 |
373 |
$0.00 |
| 99394 |
|
310 |
272 |
$0.00 |
| 90472 |
|
2,802 |
2,225 |
$0.00 |
| 90633 |
|
611 |
481 |
$0.00 |
| 99392 |
|
1,777 |
1,440 |
$0.00 |
| 99393 |
|
837 |
711 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
677 |
388 |
$0.00 |
| 99203 |
|
225 |
169 |
$0.00 |
| 90715 |
|
127 |
110 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
13 |
13 |
$0.00 |
| 90685 |
|
54 |
34 |
$0.00 |
| 90734 |
|
31 |
27 |
$0.00 |
| J2550 |
Promethazine hcl injection |
22 |
13 |
$0.00 |
| 90707 |
|
16 |
14 |
$0.00 |