| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J3490 |
Unclassified drugs |
1,514 |
389 |
$392K |
| 72082 |
|
1,230 |
1,182 |
$50K |
| 77073 |
|
1,414 |
1,363 |
$44K |
| 72170 |
|
1,137 |
1,102 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,547 |
1,491 |
$11K |
| 73620 |
|
344 |
297 |
$11K |
| 97161 |
|
827 |
791 |
$10K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
3,070 |
2,875 |
$9K |
| 29450 |
|
74 |
37 |
$6K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
840 |
625 |
$6K |
| 97542 |
|
421 |
380 |
$5K |
| 72081 |
|
104 |
100 |
$4K |
| 8888888 |
Internal/system code - not a standard HCPCS code |
156 |
52 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
416 |
280 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
236 |
232 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
596 |
556 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
199 |
185 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
112 |
109 |
$1K |
| 99215 |
Prolong outpt/office vis |
76 |
76 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
253 |
234 |
$615.48 |
| 72020 |
|
15 |
14 |
$522.22 |
| 99201 |
|
83 |
81 |
$329.61 |
| 97162 |
|
12 |
12 |
$279.21 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
30 |
16 |
$225.73 |
| J2704 |
Injection, propofol, 10 mg |
217 |
156 |
$122.50 |
| 76000 |
|
12 |
12 |
$64.04 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
176 |
136 |
$57.94 |
| 97535 |
Self-care/home management training, each 15 minutes |
33 |
27 |
$53.84 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
132 |
114 |
$17.37 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
144 |
115 |
$4.73 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
27 |
26 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
17 |
16 |
$0.00 |