| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J3490 |
Unclassified drugs |
315 |
108 |
$285K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,681 |
1,594 |
$107K |
| 72082 |
|
442 |
437 |
$69K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
176 |
69 |
$45K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
239 |
87 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
423 |
419 |
$23K |
| 73521 |
|
180 |
177 |
$21K |
| 77073 |
|
214 |
208 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
145 |
143 |
$17K |
| 97161 |
|
119 |
96 |
$16K |
| 72170 |
|
123 |
122 |
$15K |
| 72081 |
|
121 |
109 |
$14K |
| 97165 |
|
29 |
29 |
$8K |
| 73590 |
|
14 |
14 |
$2K |
| 73630 |
|
31 |
31 |
$2K |
| 64642 |
|
26 |
13 |
$528.76 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
13 |
$382.19 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
56 |
30 |
$13.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17 |
13 |
$13.15 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
16 |
12 |
$13.15 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
105 |
59 |
$13.15 |
| J2704 |
Injection, propofol, 10 mg |
42 |
30 |
$13.15 |
| J0586 |
Injection, abobotulinumtoxina, 5 units |
25 |
12 |
$0.00 |