| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
40,380 |
36,015 |
$2.98M |
| 99204 |
|
17,352 |
17,038 |
$1.63M |
| 99213 |
|
10,696 |
9,704 |
$771K |
| 99203 |
|
3,731 |
3,718 |
$282K |
| 87633 |
|
1,130 |
965 |
$209K |
| 99212 |
|
1,196 |
1,143 |
$87K |
| 96372 |
|
8,547 |
7,348 |
$58K |
| 87426 |
|
5,475 |
5,167 |
$52K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
4,060 |
3,024 |
$26K |
| 94640 |
|
3,488 |
3,290 |
$25K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,420 |
3,138 |
$23K |
| 81003 |
|
3,608 |
3,260 |
$21K |
| 99202 |
|
238 |
238 |
$19K |
| 86328 |
|
1,631 |
1,573 |
$18K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
2,436 |
2,230 |
$13K |
| 87880 |
|
1,898 |
1,853 |
$13K |
| 71046 |
|
957 |
903 |
$9K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,051 |
971 |
$9K |
| 81025 |
|
248 |
243 |
$2K |
| 87428 |
|
143 |
140 |
$2K |
| 93000 |
|
120 |
116 |
$1K |
| A6448 |
Light compression bandage, elastic, knitted/woven, width less than three inches, per yard |
123 |
121 |
$985.28 |
| 69209 |
|
15 |
14 |
$652.84 |
| 87400 |
|
1,048 |
614 |
$588.96 |
| 99442 |
|
207 |
185 |
$524.56 |
| 87807 |
|
151 |
150 |
$411.85 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
70 |
69 |
$378.28 |
| 81002 |
|
203 |
200 |
$367.30 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
65 |
63 |
$367.03 |
| 73630 |
|
12 |
12 |
$251.15 |
| 73610 |
|
13 |
12 |
$139.78 |
| 73560 |
|
14 |
14 |
$54.78 |
| 87804 |
|
49 |
49 |
$27.40 |
| 82947 |
|
22 |
20 |
$5.35 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
15 |
15 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
37 |
37 |
$0.00 |
| 90630 |
|
14 |
13 |
$0.00 |
| 73130 |
|
13 |
12 |
$0.00 |