| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
18,300 |
17,271 |
$1.18M |
| 62323 |
|
4,352 |
4,049 |
$966K |
| 76942 |
|
5,998 |
5,175 |
$318K |
| 64493 |
|
1,802 |
1,482 |
$281K |
| 99203 |
|
2,488 |
2,484 |
$223K |
| 20552 |
|
3,677 |
3,253 |
$190K |
| 64494 |
|
1,798 |
1,476 |
$138K |
| 64490 |
|
630 |
502 |
$110K |
| 64495 |
|
1,346 |
1,092 |
$106K |
| 96365 |
|
1,297 |
1,259 |
$87K |
| 99214 |
|
805 |
792 |
$76K |
| J3301 |
Triamcinolone acet inj nos |
9,249 |
8,142 |
$65K |
| 96375 |
|
1,276 |
1,241 |
$63K |
| 64491 |
|
628 |
500 |
$52K |
| 96374 |
|
1,128 |
1,098 |
$44K |
| 64492 |
|
428 |
335 |
$38K |
| 64635 |
|
73 |
72 |
$26K |
| 64636 |
|
73 |
72 |
$24K |
| 96372 |
|
1,141 |
1,108 |
$18K |
| J0670 |
Inj mepivacaine hcl/10 ml |
5,444 |
4,300 |
$14K |
| 99204 |
|
70 |
69 |
$9K |
| 62321 |
|
28 |
26 |
$7K |
| 64633 |
|
14 |
12 |
$6K |
| 20611 |
|
81 |
63 |
$6K |
| J1100 |
Dexamethasone sodium phos |
3,203 |
2,731 |
$6K |
| 64634 |
|
14 |
12 |
$6K |
| J7050 |
Normal saline solution infus |
1,776 |
1,713 |
$5K |
| 99152 |
|
96 |
95 |
$5K |
| 23350 |
|
34 |
26 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
1,388 |
1,342 |
$4K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
6,078 |
5,417 |
$4K |
| 20550 |
|
118 |
88 |
$4K |
| 95970 |
|
101 |
95 |
$3K |
| 96366 |
|
135 |
130 |
$3K |
| 99153 |
Mod sedat endo service >5yrs |
94 |
93 |
$3K |
| 27369 |
|
16 |
14 |
$2K |
| 95971 |
|
46 |
38 |
$2K |
| J7321 |
Hyalgan supartz visco-3 dose |
23 |
12 |
$2K |
| J7040 |
Normal saline solution infus |
745 |
723 |
$1K |
| J3475 |
Inj magnesium sulfate |
1,161 |
1,127 |
$1K |
| 99442 |
|
15 |
15 |
$1K |
| 20553 |
|
16 |
15 |
$1K |
| 99211 |
|
40 |
39 |
$863.12 |
| J3490 |
Drugs unclassified injection |
78 |
74 |
$726.65 |
| J7042 |
5% dextrose/normal saline |
278 |
271 |
$245.70 |
| J2001 |
Lidocaine injection |
1,053 |
1,023 |
$185.71 |
| J2250 |
Inj midazolam hydrochloride |
418 |
412 |
$127.15 |