| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99308 |
|
14,513 |
5,658 |
$261K |
| 99214 |
|
1,837 |
1,679 |
$104K |
| 99307 |
|
6,780 |
3,148 |
$70K |
| 99213 |
|
1,473 |
1,201 |
$64K |
| 96365 |
|
1,218 |
773 |
$58K |
| 96374 |
|
1,921 |
1,202 |
$47K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
3,200 |
1,946 |
$42K |
| 99232 |
|
1,982 |
525 |
$34K |
| 99212 |
|
1,291 |
763 |
$30K |
| 99215 |
Prolong outpt/office vis |
334 |
330 |
$30K |
| 96372 |
|
2,540 |
1,606 |
$24K |
| 96366 |
|
581 |
344 |
$17K |
| 96361 |
|
1,232 |
751 |
$11K |
| 99309 |
|
551 |
431 |
$10K |
| 99231 |
|
1,040 |
267 |
$9K |
| 99306 |
Prolong nursin fac eval 15m |
137 |
136 |
$8K |
| 99315 |
|
122 |
121 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,142 |
1,382 |
$3K |
| 36415 |
|
3,396 |
3,094 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
60 |
60 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,110 |
676 |
$886.02 |
| 90688 |
|
15 |
14 |
$168.28 |
| 90658 |
|
14 |
14 |
$160.80 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$0.00 |