| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76942 |
|
390 |
182 |
$7K |
| 20611 |
|
301 |
153 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,071 |
492 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
435 |
347 |
$3K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
148 |
73 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
28 |
28 |
$2K |
| 94060 |
|
97 |
49 |
$766.64 |
| 20553 |
|
382 |
178 |
$605.16 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
458 |
286 |
$519.39 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
428 |
202 |
$345.60 |
| 93000 |
|
38 |
37 |
$345.34 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
348 |
158 |
$311.43 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
297 |
267 |
$267.13 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
338 |
156 |
$165.46 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
98 |
53 |
$163.32 |
| 93880 |
|
12 |
12 |
$129.66 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
94 |
49 |
$124.22 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
17 |
16 |
$89.24 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
151 |
123 |
$72.94 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
68 |
58 |
$66.88 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
299 |
213 |
$31.66 |
| 80061 |
Lipid panel |
43 |
43 |
$17.19 |
| 82948 |
|
273 |
168 |
$16.79 |
| 80053 |
Comprehensive metabolic panel |
44 |
43 |
$9.74 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
24 |
$7.70 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
29 |
14 |
$2.80 |
| 84439 |
|
14 |
14 |
$0.01 |
| 82150 |
|
30 |
30 |
$0.00 |
| 84480 |
|
14 |
14 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
15 |
15 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
22 |
$0.00 |