| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87636 |
|
162,108 |
151,854 |
$17.61M |
| 99214 |
|
252,864 |
238,258 |
$15.39M |
| 99213 |
|
223,951 |
212,086 |
$9.66M |
| 87651 |
|
125,280 |
118,913 |
$3.17M |
| 99203 |
|
25,483 |
23,700 |
$1.68M |
| 87502 |
|
12,991 |
12,292 |
$430K |
| 99204 |
|
3,797 |
3,453 |
$319K |
| 87811 |
|
5,311 |
5,125 |
$221K |
| 87631 |
|
836 |
790 |
$78K |
| 99202 |
|
966 |
944 |
$67K |
| 87880 |
|
8,231 |
7,944 |
$56K |
| 99212 |
|
1,419 |
1,351 |
$53K |
| 99215 |
Prolong outpt/office vis |
641 |
595 |
$47K |
| 96372 |
|
5,738 |
5,350 |
$46K |
| 87804 |
|
8,115 |
3,953 |
$34K |
| 81003 |
|
39,742 |
37,055 |
$34K |
| 36415 |
|
7,113 |
6,715 |
$22K |
| 71046 |
|
1,362 |
1,310 |
$16K |
| 87807 |
|
1,171 |
1,134 |
$13K |
| 81025 |
|
2,494 |
2,356 |
$9K |
| 99211 |
|
260 |
240 |
$5K |
| J0561 |
Penicillin g benzathine inj |
14 |
12 |
$2K |
| 94640 |
|
938 |
888 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
399 |
367 |
$1K |
| 85025 |
|
410 |
407 |
$382.20 |
| A6449 |
Lt compres band >=3" <5"/yd |
12 |
12 |
$356.80 |
| J1885 |
Ketorolac tromethamine inj |
423 |
395 |
$265.56 |
| J2930 |
Methylprednisolone injection |
148 |
141 |
$261.07 |
| J2920 |
Methylprednisolone injection |
87 |
81 |
$174.93 |
| J1040 |
Methylprednisolone 80 mg inj |
115 |
114 |
$169.60 |
| 86308 |
|
189 |
184 |
$156.07 |
| 82947 |
|
171 |
169 |
$74.84 |
| J7510 |
Prednisolone oral per 5 mg |
66 |
64 |
$51.55 |
| J7620 |
Albuterol ipratrop non-comp |
196 |
179 |
$25.30 |
| 93000 |
|
138 |
134 |
$22.27 |
| 73610 |
|
239 |
235 |
$17.43 |
| 73630 |
|
235 |
233 |
$17.43 |
| J1100 |
Dexamethasone sodium phos |
22 |
16 |
$16.96 |
| 81002 |
|
582 |
568 |
$14.26 |
| 36416 |
|
67 |
66 |
$12.00 |
| J7613 |
Albuterol non-comp unit |
283 |
262 |
$1.65 |
| 73562 |
|
57 |
57 |
$0.00 |
| 73130 |
|
75 |
74 |
$0.00 |
| 73140 |
|
47 |
46 |
$0.00 |
| 73110 |
|
67 |
65 |
$0.00 |
| 69209 |
|
14 |
13 |
$0.00 |