| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,356 |
1,925 |
$81K |
| 99204 |
|
74 |
74 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
386 |
357 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
331 |
279 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
118 |
115 |
$1K |
| 82947 |
|
355 |
323 |
$887.04 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
36 |
35 |
$232.52 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
13 |
13 |
$85.41 |
| 3077F |
|
512 |
445 |
$0.00 |
| 1159F |
|
2,213 |
1,825 |
$0.00 |
| 1160F |
|
2,188 |
1,808 |
$0.00 |
| 3078F |
|
1,557 |
1,377 |
$0.00 |
| 3080F |
|
214 |
196 |
$0.00 |
| 3074F |
|
1,300 |
1,152 |
$0.00 |
| 3008F |
|
2,175 |
1,800 |
$0.00 |
| 3075F |
|
316 |
302 |
$0.00 |
| 3079F |
|
429 |
394 |
$0.00 |
| 96372 |
|
12 |
12 |
$0.00 |
| 2001F |
|
115 |
109 |
$0.00 |
| 2010F |
|
12 |
12 |
$0.00 |