| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
11,819 |
11,461 |
$660K |
| 99213 |
|
10,580 |
10,295 |
$415K |
| 99204 |
|
2,351 |
2,336 |
$216K |
| 97140 |
|
7,895 |
4,234 |
$142K |
| 99212 |
|
960 |
935 |
$23K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,853 |
2,786 |
$22K |
| 62323 |
|
227 |
227 |
$18K |
| 97110 |
|
1,031 |
576 |
$14K |
| 99232 |
|
286 |
105 |
$9K |
| J0702 |
Betamethasone acet&sod phosp |
577 |
570 |
$6K |
| 64493 |
|
37 |
37 |
$4K |
| 97010 |
|
965 |
520 |
$3K |
| J1040 |
Methylprednisolone 80 mg inj |
440 |
423 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
86 |
53 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$2K |
| 64483 |
|
14 |
14 |
$1K |
| 95886 |
|
21 |
16 |
$1K |
| 80305 |
|
186 |
185 |
$746.48 |
| 97162 |
|
12 |
12 |
$715.60 |
| 99203 |
|
13 |
13 |
$684.90 |
| 64494 |
|
12 |
12 |
$622.02 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
311 |
304 |
$518.13 |
| 99442 |
|
31 |
27 |
$482.88 |
| 97112 |
|
30 |
13 |
$434.61 |
| 99239 |
|
12 |
12 |
$411.60 |
| J1100 |
Dexamethasone sodium phos |
299 |
295 |
$358.25 |
| J3301 |
Triamcinolone acet inj nos |
104 |
101 |
$297.62 |
| S0020 |
Injection, bupivicaine hydro |
92 |
91 |
$270.53 |
| J1010 |
Inj, methylpred acetate 1 mg |
27 |
27 |
$57.65 |
| J3490 |
Drugs unclassified injection |
27 |
26 |
$0.00 |
| 99072 |
|
1,340 |
1,221 |
$0.00 |