| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
115,490 |
107,367 |
$6.13M |
| L0650 |
Lso sc r ant/pos pnl pre ots |
5,819 |
5,560 |
$4.14M |
| 64483 |
|
6,978 |
5,939 |
$707K |
| L0180 |
Cer post col occ/man sup adj |
2,340 |
2,285 |
$702K |
| 99204 |
|
7,731 |
7,446 |
$674K |
| L0637 |
Lso sc r ant/pos pnl pre cst |
440 |
434 |
$447K |
| L1843 |
Ko single upright pre cst |
374 |
281 |
$164K |
| L2397 |
Suspension sleeve lower ext |
893 |
655 |
$101K |
| L2395 |
Offset knee joint heavy duty |
871 |
639 |
$87K |
| 62321 |
|
1,120 |
934 |
$86K |
| 98942 |
|
1,591 |
716 |
$81K |
| L2385 |
Straight knee joint heavy du |
873 |
640 |
$81K |
| L1686 |
Ho post-op hip abduction |
129 |
120 |
$79K |
| L1851 |
Ko single upright prefab ots |
152 |
115 |
$79K |
| 20611 |
|
1,062 |
815 |
$69K |
| 64493 |
|
761 |
610 |
$68K |
| 64635 |
|
330 |
276 |
$62K |
| 98941 |
|
3,392 |
1,530 |
$50K |
| 99213 |
|
1,307 |
1,233 |
$49K |
| 64494 |
|
716 |
584 |
$37K |
| 98943 |
|
1,084 |
494 |
$30K |
| 64636 |
|
431 |
363 |
$22K |
| 64484 |
|
469 |
397 |
$17K |
| 99484 |
|
815 |
790 |
$16K |
| 97110 |
|
1,533 |
667 |
$16K |
| 97012 |
|
1,543 |
665 |
$13K |
| 64490 |
|
143 |
100 |
$12K |
| 64633 |
|
57 |
47 |
$10K |
| L0457 |
Tlso flex trnk sj-ss pre ots |
13 |
13 |
$8K |
| 95913 |
|
42 |
40 |
$7K |
| 97760 |
|
441 |
413 |
$7K |
| 99203 |
|
75 |
74 |
$7K |
| J3301 |
Triamcinolone acet inj nos |
1,646 |
1,522 |
$6K |
| 64491 |
|
109 |
85 |
$5K |
| L2624 |
Hip adj flex ext abduct cont |
14 |
13 |
$4K |
| 64640 |
|
173 |
38 |
$4K |
| 99212 |
|
133 |
130 |
$3K |
| J7321 |
Hyalgan supartz visco-3 dose |
44 |
27 |
$3K |
| 27096 |
|
33 |
28 |
$3K |
| 64634 |
|
59 |
47 |
$3K |
| L3908 |
Who cock-up nonmolde pre ots |
67 |
49 |
$3K |
| 96132 |
|
62 |
59 |
$3K |
| 95886 |
|
45 |
42 |
$2K |
| 77002 |
|
180 |
114 |
$1K |
| 20553 |
|
29 |
28 |
$1K |
| 64450 |
|
73 |
25 |
$1K |
| 96127 |
|
337 |
331 |
$869.23 |
| 96372 |
|
85 |
82 |
$842.04 |
| 99443 |
|
19 |
19 |
$465.67 |
| 36415 |
|
185 |
177 |
$446.30 |
| 77003 |
|
281 |
161 |
$388.80 |
| 96138 |
|
14 |
13 |
$199.50 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
177 |
116 |
$90.50 |
| S0020 |
Injection, bupivicaine hydro |
80 |
51 |
$83.12 |
| J1885 |
Ketorolac tromethamine inj |
95 |
93 |
$74.35 |
| J3490 |
Drugs unclassified injection |
34 |
30 |
$26.28 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
38 |
33 |
$11.05 |
| J2001 |
Lidocaine injection |
361 |
293 |
$4.36 |
| G0483 |
Drug test def 22+ classes |
214 |
179 |
$0.00 |
| 99072 |
|
73 |
46 |
$0.00 |
| 97140 |
|
389 |
139 |
$0.00 |