| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
19,932 |
17,630 |
$709K |
| 62323 |
|
798 |
773 |
$154K |
| 99204 |
|
2,114 |
2,109 |
$137K |
| 99233 |
Prolong inpt eval add15 m |
1,823 |
668 |
$71K |
| 64493 |
|
395 |
385 |
$69K |
| 99223 |
Prolong inpt eval add15 m |
894 |
879 |
$63K |
| 99213 |
|
3,439 |
3,209 |
$55K |
| 27096 |
|
125 |
121 |
$34K |
| 64494 |
|
348 |
343 |
$31K |
| 64495 |
|
324 |
319 |
$29K |
| J1040 |
Methylprednisolone 80 mg inj |
1,336 |
1,236 |
$15K |
| 64483 |
|
67 |
66 |
$11K |
| 20610 |
|
256 |
227 |
$10K |
| 96127 |
|
1,353 |
1,345 |
$6K |
| 99253 |
|
136 |
133 |
$6K |
| 20553 |
|
106 |
103 |
$5K |
| J3490 |
Drugs unclassified injection |
170 |
168 |
$4K |
| J3301 |
Triamcinolone acet inj nos |
873 |
853 |
$3K |
| J1030 |
Methylprednisolone 40 mg inj |
594 |
557 |
$3K |
| 62322 |
|
28 |
28 |
$3K |
| 99255 |
|
36 |
34 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,620 |
1,549 |
$2K |
| 64635 |
|
12 |
12 |
$2K |
| 77002 |
|
33 |
27 |
$1K |
| 64636 |
|
12 |
12 |
$846.88 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,865 |
1,762 |
$614.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$566.30 |
| 82962 |
|
124 |
116 |
$207.63 |
| G2211 |
Complex e/m visit add on |
204 |
200 |
$187.06 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,543 |
1,480 |
$151.75 |
| J2001 |
Lidocaine injection |
483 |
451 |
$52.12 |
| 1159F |
|
401 |
364 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
1,409 |
1,282 |
$0.00 |
| 1160F |
|
27 |
25 |
$0.00 |