| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
|
14,833 |
3,178 |
$500K |
| 97140 |
|
13,663 |
3,130 |
$169K |
| 99214 |
|
2,832 |
2,282 |
$98K |
| 20611 |
|
2,135 |
1,247 |
$70K |
| 99203 |
|
1,303 |
1,214 |
$63K |
| 99213 |
|
2,416 |
2,074 |
$61K |
| L1833 |
Ko adj jnt pos r sup pre ots |
192 |
157 |
$58K |
| 97016 |
|
7,829 |
1,862 |
$57K |
| 97161 |
|
1,198 |
1,108 |
$53K |
| G0283 |
Elec stim other than wound |
9,360 |
2,170 |
$40K |
| 97014 |
|
3,420 |
992 |
$32K |
| 97164 |
|
894 |
756 |
$21K |
| J7321 |
Hyalgan supartz visco-3 dose |
329 |
108 |
$14K |
| 97012 |
|
1,923 |
448 |
$11K |
| J1040 |
Methylprednisolone 80 mg inj |
1,082 |
923 |
$11K |
| 97162 |
|
227 |
209 |
$11K |
| 97112 |
|
430 |
173 |
$11K |
| L0631 |
Lso sag r an/pos pnl pre cst |
48 |
46 |
$11K |
| 20610 |
|
347 |
220 |
$10K |
| 96372 |
|
965 |
864 |
$9K |
| 97530 |
|
419 |
171 |
$7K |
| J3301 |
Triamcinolone acet inj nos |
1,102 |
958 |
$6K |
| 73560 |
|
438 |
384 |
$6K |
| 99204 |
|
68 |
53 |
$4K |
| 72100 |
|
175 |
159 |
$3K |
| 73610 |
|
211 |
163 |
$3K |
| 73030 |
|
191 |
159 |
$3K |
| 73110 |
|
123 |
89 |
$2K |
| 73630 |
|
129 |
106 |
$2K |
| 73130 |
|
80 |
63 |
$1K |
| 99211 |
|
182 |
95 |
$1K |
| 72040 |
|
35 |
31 |
$670.20 |
| J1885 |
Ketorolac tromethamine inj |
929 |
833 |
$481.27 |
| L3908 |
Who cock-up nonmolde pre ots |
16 |
12 |
$429.91 |
| J1030 |
Methylprednisolone 40 mg inj |
48 |
40 |
$305.93 |
| J1010 |
Inj, methylpred acetate 1 mg |
102 |
76 |
$102.51 |
| 97010 |
|
4,545 |
1,264 |
$0.00 |