| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
13,514 |
12,310 |
$792K |
| 99214 |
|
7,452 |
7,103 |
$524K |
| 99203 |
|
5,404 |
5,360 |
$348K |
| 99204 |
|
3,116 |
3,104 |
$267K |
| 87811 |
|
7,384 |
6,995 |
$163K |
| 99212 |
|
2,136 |
1,950 |
$99K |
| 99202 |
|
1,740 |
1,728 |
$87K |
| 86328 |
|
1,045 |
585 |
$33K |
| 96372 |
|
3,394 |
3,106 |
$23K |
| 99000 |
|
5,213 |
4,946 |
$18K |
| 87804 |
|
1,381 |
1,039 |
$17K |
| 87880 |
|
1,526 |
1,503 |
$11K |
| 81025 |
|
1,356 |
1,312 |
$6K |
| 81003 |
|
1,903 |
1,832 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,807 |
1,755 |
$944.51 |
| 87426 |
|
25 |
25 |
$861.35 |
| 99058 |
|
195 |
176 |
$845.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,383 |
1,254 |
$798.46 |
| 87635 |
|
16 |
16 |
$679.68 |
| 94640 |
|
90 |
87 |
$503.86 |
| 71046 |
|
40 |
39 |
$411.49 |
| 73562 |
|
12 |
12 |
$210.42 |
| 73130 |
|
12 |
12 |
$153.13 |
| 81002 |
|
97 |
90 |
$116.26 |
| 81001 |
|
57 |
55 |
$84.50 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
38 |
37 |
$22.41 |
| A6448 |
Light compression bandage, elastic, knitted/woven, width less than three inches, per yard |
41 |
41 |
$3.12 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
52 |
50 |
$0.09 |
| 99051 |
|
166 |
164 |
$0.00 |
| 99072 |
|
395 |
372 |
$0.00 |