| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64493 |
|
753 |
674 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,133 |
2,637 |
$86K |
| 64490 |
|
439 |
421 |
$71K |
| 64636 |
|
308 |
254 |
$60K |
| 64635 |
|
259 |
252 |
$54K |
| 64633 |
|
131 |
129 |
$31K |
| 64634 |
|
132 |
129 |
$29K |
| 64491 |
|
441 |
423 |
$18K |
| 64492 |
|
301 |
288 |
$18K |
| 64494 |
|
754 |
674 |
$17K |
| 64495 |
|
628 |
561 |
$17K |
| 80305 |
|
3,042 |
2,523 |
$10K |
| 72100 |
|
1,305 |
1,147 |
$9K |
| 72070 |
|
248 |
226 |
$4K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
195 |
186 |
$3K |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
381 |
363 |
$3K |
| 72040 |
|
320 |
301 |
$2K |
| 62323 |
|
12 |
12 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
478 |
435 |
$1K |
| 77002 |
|
149 |
136 |
$753.88 |
| 20610 |
|
149 |
136 |
$749.59 |
| 20605 |
|
13 |
12 |
$81.60 |
| 73560 |
|
13 |
12 |
$16.65 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
171 |
159 |
$0.48 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
14 |
12 |
$0.00 |