| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
75,501 |
69,541 |
$5.26M |
| 99213 |
|
86,732 |
77,953 |
$4.19M |
| 99204 |
|
32,412 |
30,357 |
$3.19M |
| 99203 |
|
28,083 |
26,354 |
$1.92M |
| 97110 |
|
68,761 |
25,804 |
$1.79M |
| 97530 |
|
38,400 |
16,328 |
$1.49M |
| 97112 |
|
27,774 |
11,063 |
$883K |
| 97140 |
|
36,638 |
14,733 |
$547K |
| 97161 |
|
8,190 |
7,783 |
$502K |
| 20610 |
|
9,775 |
8,635 |
$382K |
| 95886 |
|
3,384 |
3,121 |
$338K |
| 64483 |
|
1,936 |
1,822 |
$293K |
| 73630 |
|
12,463 |
9,829 |
$283K |
| 73610 |
|
7,958 |
6,991 |
$207K |
| 97162 |
|
3,272 |
3,052 |
$182K |
| L3808 |
Whfo, rigid w/o joints |
636 |
588 |
$180K |
| 73110 |
|
5,819 |
4,548 |
$173K |
| 99212 |
|
5,482 |
5,014 |
$173K |
| 72110 |
|
4,650 |
4,412 |
$162K |
| 73564 |
|
4,383 |
3,503 |
$139K |
| 73562 |
|
5,106 |
4,111 |
$136K |
| 97165 |
|
1,947 |
1,872 |
$127K |
| L4361 |
Pneuma/vac walk boot pre ots |
515 |
485 |
$119K |
| 72100 |
|
3,565 |
3,369 |
$98K |
| 95911 |
|
616 |
583 |
$93K |
| 11042 |
|
1,303 |
961 |
$80K |
| 73030 |
|
3,638 |
3,128 |
$80K |
| 73130 |
|
2,907 |
2,422 |
$79K |
| J3301 |
Triamcinolone acet inj nos |
11,240 |
10,547 |
$61K |
| 11721 |
|
3,336 |
3,030 |
$56K |
| A4590 |
Special casting material |
1,821 |
1,583 |
$45K |
| J0702 |
Betamethasone acet&sod phosp |
2,475 |
2,242 |
$37K |
| L3906 |
Who w/o joints cf |
119 |
107 |
$37K |
| 72040 |
|
1,240 |
1,159 |
$33K |
| 11750 |
|
331 |
203 |
$31K |
| J1030 |
Methylprednisolone 40 mg inj |
3,984 |
3,464 |
$26K |
| 64484 |
|
341 |
324 |
$23K |
| 99215 |
Prolong outpt/office vis |
231 |
211 |
$23K |
| 95910 |
|
174 |
161 |
$21K |
| 73140 |
|
721 |
613 |
$21K |
| L3913 |
Hfo w/o joints cf |
83 |
81 |
$19K |
| 73080 |
|
706 |
592 |
$18K |
| L3933 |
Fo w/o joints cf |
97 |
90 |
$15K |
| 20611 |
|
244 |
227 |
$15K |
| 73560 |
|
794 |
585 |
$15K |
| 99202 |
|
275 |
265 |
$13K |
| 97535 |
|
987 |
881 |
$13K |
| 29075 |
|
174 |
151 |
$12K |
| 73100 |
|
460 |
393 |
$12K |
| 97163 |
|
206 |
184 |
$11K |
| 73502 |
|
342 |
317 |
$10K |
| 72050 |
|
262 |
249 |
$10K |
| 11056 |
|
297 |
265 |
$10K |
| L3908 |
Who cock-up nonmolde pre ots |
124 |
108 |
$7K |
| 20551 |
|
204 |
136 |
$6K |
| 27096 |
|
38 |
38 |
$6K |
| 99152 |
|
833 |
731 |
$5K |
| J1100 |
Dexamethasone sodium phos |
4,155 |
3,906 |
$5K |
| 96132 |
|
56 |
52 |
$5K |
| 11055 |
|
104 |
90 |
$4K |
| 20550 |
|
108 |
77 |
$4K |
| 64493 |
|
29 |
25 |
$4K |
| 36415 |
|
2,459 |
2,203 |
$3K |
| 96372 |
|
267 |
231 |
$3K |
| 20552 |
|
68 |
67 |
$3K |
| 73501 |
|
149 |
131 |
$3K |
| 62321 |
|
13 |
13 |
$3K |
| 97166 |
|
40 |
37 |
$2K |
| 29125 |
|
48 |
39 |
$2K |
| 73590 |
|
69 |
64 |
$2K |
| L1902 |
Afo ankle gauntlet pre ots |
30 |
25 |
$1K |
| 73600 |
|
63 |
52 |
$1K |
| 99000 |
|
954 |
796 |
$1K |
| 73090 |
|
56 |
39 |
$1K |
| 95885 |
|
16 |
13 |
$796.59 |
| 73620 |
|
52 |
39 |
$766.49 |
| 72082 |
|
14 |
14 |
$741.85 |
| 64494 |
|
18 |
12 |
$733.45 |
| 77077 |
|
13 |
13 |
$529.77 |
| 62323 |
|
16 |
12 |
$514.91 |
| 72081 |
|
15 |
13 |
$472.10 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
889 |
847 |
$455.15 |
| 72170 |
|
29 |
24 |
$431.93 |
| 96146 |
|
168 |
143 |
$329.96 |
| 73120 |
|
14 |
12 |
$324.49 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,329 |
1,232 |
$212.18 |
| 97010 |
|
36 |
18 |
$28.00 |
| 1123F |
|
23 |
14 |
$0.00 |
| 1124F |
|
743 |
563 |
$0.00 |
| G8978 |
Mobility current status |
57 |
42 |
$0.00 |
| G8984 |
Carry current status |
16 |
13 |
$0.00 |
| G8979 |
Mobility goal status |
61 |
45 |
$0.00 |
| G8985 |
Carry goal status |
18 |
15 |
$0.00 |