| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
55,386 |
39,028 |
$947K |
| 99214 |
|
31,547 |
23,766 |
$903K |
| 00170 |
|
10,324 |
8,320 |
$785K |
| 62323 |
|
4,507 |
3,234 |
$229K |
| 80307 |
|
4,434 |
3,456 |
$217K |
| 01967 |
|
1,462 |
1,103 |
$217K |
| G0481 |
Drug test def 8-14 classes |
1,222 |
1,011 |
$93K |
| 99231 |
|
3,446 |
858 |
$73K |
| 00731 |
|
2,021 |
1,605 |
$53K |
| 99204 |
|
1,133 |
748 |
$50K |
| G0482 |
Drug test def 15-21 classes |
527 |
403 |
$43K |
| 99212 |
|
6,147 |
3,851 |
$40K |
| G0483 |
Drug test def 22+ classes |
227 |
214 |
$30K |
| 00126 |
|
500 |
423 |
$20K |
| 00142 |
|
1,165 |
699 |
$15K |
| 64493 |
|
782 |
302 |
$13K |
| 99203 |
|
240 |
179 |
$9K |
| J3301 |
Triamcinolone acet inj nos |
5,248 |
3,255 |
$8K |
| 64494 |
|
729 |
278 |
$6K |
| 00790 |
|
33 |
28 |
$4K |
| 99152 |
|
1,060 |
669 |
$4K |
| 00140 |
|
67 |
51 |
$4K |
| 00811 |
|
180 |
152 |
$4K |
| 01961 |
|
61 |
37 |
$3K |
| 00920 |
|
49 |
38 |
$3K |
| 00813 |
|
95 |
81 |
$3K |
| 64483 |
|
27 |
12 |
$2K |
| 00918 |
|
36 |
26 |
$2K |
| 01844 |
|
32 |
31 |
$1K |
| 76942 |
|
144 |
77 |
$1K |
| J1040 |
Methylprednisolone 80 mg inj |
380 |
268 |
$1K |
| 27096 |
|
81 |
24 |
$1K |
| 99140 |
|
99 |
78 |
$927.04 |
| 36620 |
|
41 |
36 |
$870.64 |
| 64495 |
|
131 |
26 |
$845.25 |
| 20611 |
|
34 |
15 |
$839.61 |
| 00104 |
|
65 |
12 |
$793.77 |
| 99443 |
|
111 |
68 |
$726.06 |
| 99441 |
|
126 |
86 |
$487.11 |
| 99442 |
|
77 |
50 |
$417.09 |
| 20610 |
|
26 |
13 |
$396.75 |
| 99232 |
|
15 |
12 |
$351.76 |
| J1030 |
Methylprednisolone 40 mg inj |
262 |
160 |
$259.00 |
| 99211 |
|
52 |
41 |
$204.46 |
| J1010 |
Inj, methylpred acetate 1 mg |
53 |
48 |
$153.23 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
257 |
214 |
$41.58 |
| J1100 |
Dexamethasone sodium phos |
91 |
59 |
$32.76 |