| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
199,512 |
189,914 |
$20.67M |
| 99204 |
|
47,125 |
46,844 |
$5.14M |
| 99213 |
|
6,122 |
6,067 |
$592K |
| 99203 |
|
2,407 |
2,402 |
$252K |
| 99215 |
Prolong outpt/office vis |
2,340 |
2,336 |
$247K |
| 99205 |
Prolong outpt/office vis |
261 |
260 |
$32K |
| 96372 |
|
23,298 |
22,742 |
$5K |
| 99202 |
|
34 |
34 |
$4K |
| 87426 |
|
53,094 |
52,372 |
$3K |
| 87804 |
|
14,183 |
7,127 |
$3K |
| 81003 |
|
38,479 |
37,800 |
$2K |
| 81025 |
|
21,845 |
21,448 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
7,138 |
6,931 |
$992.66 |
| J1885 |
Ketorolac tromethamine inj |
10,879 |
10,715 |
$723.94 |
| J1100 |
Dexamethasone sodium phos |
7,065 |
7,000 |
$352.36 |
| 87880 |
|
5,252 |
5,212 |
$343.00 |
| 71046 |
|
4,937 |
4,866 |
$236.17 |
| 94640 |
|
2,268 |
2,225 |
$181.35 |
| 99051 |
|
39,609 |
37,842 |
$174.13 |
| 93000 |
|
1,152 |
1,144 |
$80.48 |
| J7613 |
Albuterol non-comp unit |
2,032 |
1,996 |
$43.93 |
| 94060 |
|
12 |
12 |
$42.29 |
| 82962 |
|
1,182 |
1,164 |
$27.65 |
| 87807 |
|
708 |
698 |
$22.46 |
| S0119 |
Ondansetron 4 mg |
2,680 |
2,662 |
$22.30 |
| 73630 |
|
631 |
611 |
$16.35 |
| J3301 |
Triamcinolone acet inj nos |
214 |
213 |
$8.26 |
| 73610 |
|
626 |
600 |
$0.00 |
| S0077 |
Injection, clindamycin phosp |
312 |
298 |
$0.00 |
| 72100 |
|
315 |
314 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
211 |
208 |
$0.00 |
| 69210 |
|
409 |
401 |
$0.00 |
| 73110 |
|
220 |
213 |
$0.00 |
| 72070 |
|
26 |
26 |
$0.00 |
| 73030 |
|
238 |
228 |
$0.00 |
| E0114 |
Crutch underarm pair no wood |
513 |
502 |
$0.00 |
| A4565 |
Slings |
305 |
299 |
$0.00 |
| 73140 |
|
342 |
337 |
$0.00 |
| 73562 |
|
393 |
378 |
$0.00 |
| 99173 |
|
90 |
90 |
$0.00 |
| 73130 |
|
417 |
407 |
$0.00 |
| 73080 |
|
103 |
93 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
212 |
207 |
$0.00 |
| 90714 |
|
120 |
119 |
$0.00 |
| 74018 |
|
61 |
61 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
13 |
13 |
$0.00 |
| Q4049 |
Finger splint, static |
218 |
216 |
$0.00 |
| 72040 |
|
198 |
198 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
701 |
682 |
$0.00 |
| A9150 |
Misc/exper non-prescript dru |
1,795 |
1,763 |
$0.00 |
| A6449 |
Lt compres band >=3" <5"/yd |
674 |
670 |
$0.00 |
| 90471 |
|
121 |
120 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
41 |
41 |
$0.00 |
| 29130 |
|
184 |
183 |
$0.00 |
| A6448 |
Lt compres band <3"/yd |
308 |
308 |
$0.00 |
| 73090 |
|
15 |
15 |
$0.00 |
| 36415 |
|
575 |
574 |
$0.00 |
| 71045 |
|
50 |
50 |
$0.00 |
| A6454 |
Self-adher band w>=3" <5"/yd |
24 |
24 |
$0.00 |
| 71101 |
|
13 |
13 |
$0.00 |
| 12001 |
|
12 |
12 |
$0.00 |