| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
2,827 |
2,404 |
$44K |
| 99213 |
|
821 |
548 |
$5K |
| 99215 |
Prolong outpt/office vis |
250 |
209 |
$5K |
| 96360 |
|
313 |
142 |
$5K |
| 96372 |
|
875 |
627 |
$3K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
797 |
367 |
$3K |
| 96365 |
|
167 |
98 |
$3K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
254 |
128 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
546 |
287 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
183 |
86 |
$871.51 |
| 96361 |
|
103 |
53 |
$683.34 |
| 96368 |
|
121 |
64 |
$565.21 |
| J2780 |
Injection, ranitidine hydrochloride, 25 mg |
126 |
74 |
$389.40 |
| 96413 |
|
35 |
27 |
$214.42 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
87 |
42 |
$190.50 |
| J7050 |
Infusion, normal saline solution, 250 cc |
86 |
53 |
$94.20 |
| 96374 |
|
18 |
13 |
$51.22 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
107 |
107 |
$47.74 |
| 99070 |
|
31 |
16 |
$25.50 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
38 |
24 |
$2.45 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
21 |
13 |
$0.30 |
| A4215 |
Needle, sterile, any size, each |
21 |
13 |
$0.28 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
29 |
14 |
$0.00 |
| 36140 |
|
26 |
13 |
$0.00 |
| A6260 |
Wound cleansers, any type, any size |
22 |
13 |
$0.00 |