| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
23,564 |
21,266 |
$1.49M |
| 20611 |
|
18,517 |
9,687 |
$1.20M |
| 76881 |
|
11,490 |
9,184 |
$1.06M |
| 97139 |
|
37,694 |
4,517 |
$983K |
| J7320 |
Genvisc 850, inj, 1mg |
1,643 |
595 |
$541K |
| 97110 |
|
11,981 |
3,016 |
$517K |
| J7321 |
Hyalgan supartz visco-3 dose |
6,917 |
2,467 |
$495K |
| 99204 |
|
3,942 |
3,916 |
$445K |
| 99212 |
|
11,014 |
8,835 |
$374K |
| 97140 |
|
11,143 |
2,831 |
$360K |
| 76882 |
|
8,946 |
3,788 |
$318K |
| 97750 |
|
3,706 |
1,821 |
$195K |
| 76942 |
|
2,391 |
2,056 |
$157K |
| 73560 |
|
4,305 |
3,158 |
$108K |
| J7328 |
Gelsyn-3 injection 0.1 mg |
441 |
190 |
$78K |
| 97010 |
|
9,940 |
2,607 |
$77K |
| 73565 |
|
2,798 |
2,787 |
$76K |
| J1040 |
Methylprednisolone 80 mg inj |
5,127 |
4,382 |
$73K |
| 73030 |
|
2,335 |
2,016 |
$73K |
| 99213 |
|
1,171 |
1,041 |
$60K |
| 20550 |
|
832 |
741 |
$49K |
| J1030 |
Methylprednisolone 40 mg inj |
4,785 |
3,999 |
$45K |
| 73110 |
|
1,117 |
844 |
$39K |
| 29530 |
|
615 |
184 |
$26K |
| 73610 |
|
715 |
627 |
$25K |
| 73630 |
|
751 |
639 |
$23K |
| 97014 |
|
1,445 |
369 |
$21K |
| 97530 |
|
528 |
240 |
$21K |
| A4595 |
Tens suppl 2 lead per month |
1,415 |
1,391 |
$19K |
| 73130 |
|
555 |
445 |
$17K |
| 99203 |
|
189 |
189 |
$17K |
| L1832 |
Ko adj jnt pos r sup pre cst |
39 |
38 |
$14K |
| G0283 |
Elec stim other than wound |
1,466 |
472 |
$13K |
| 29240 |
|
227 |
63 |
$11K |
| 20526 |
|
82 |
65 |
$6K |
| 20551 |
|
92 |
75 |
$6K |
| 97112 |
|
85 |
26 |
$3K |
| 97162 |
|
26 |
26 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$2K |
| J1020 |
Methylprednisolone 20 mg inj |
165 |
147 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
432 |
333 |
$982.78 |
| 97026 |
|
138 |
50 |
$929.63 |
| 73070 |
|
30 |
24 |
$835.63 |
| 73502 |
|
16 |
12 |
$806.36 |
| 72100 |
|
12 |
12 |
$388.02 |
| J1010 |
Inj, methylpred acetate 1 mg |
76 |
59 |
$243.90 |
| 99072 |
|
2,370 |
1,202 |
$15.02 |