| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,713 |
2,249 |
$184K |
| 99443 |
|
1,545 |
1,272 |
$122K |
| 99213 |
|
2,297 |
1,903 |
$116K |
| 99233 |
Prolong inpt eval add15 m |
260 |
73 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
80 |
80 |
$7K |
| 20553 |
|
181 |
164 |
$5K |
| 99232 |
|
45 |
15 |
$2K |
| 76942 |
|
75 |
69 |
$2K |
| 99204 |
|
13 |
13 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
84 |
77 |
$64.87 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
74 |
66 |
$40.84 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
13 |
13 |
$0.03 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
15 |
13 |
$0.00 |