| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
9,347 |
9,056 |
$1.47M |
| 99214 |
|
14,456 |
14,193 |
$1.11M |
| J0717 |
Certolizumab pegol inj 1mg |
896 |
818 |
$528K |
| J0129 |
Abatacept injection |
689 |
629 |
$427K |
| 96413 |
|
4,099 |
3,805 |
$373K |
| J3262 |
Tocilizumab injection |
939 |
569 |
$317K |
| J1745 |
Infliximab not biosimil 10mg |
395 |
354 |
$188K |
| 99204 |
|
954 |
953 |
$143K |
| 96372 |
|
10,230 |
9,604 |
$123K |
| 99213 |
|
4,421 |
4,215 |
$95K |
| 96375 |
|
3,559 |
3,330 |
$46K |
| 96365 |
|
2,731 |
2,579 |
$44K |
| 96415 |
|
1,205 |
1,085 |
$27K |
| 99205 |
Prolong outpt/office vis |
93 |
93 |
$18K |
| J1020 |
Methylprednisolone 20 mg inj |
1,748 |
1,648 |
$12K |
| J3420 |
Vitamin b12 injection |
4,799 |
4,593 |
$9K |
| J2920 |
Methylprednisolone injection |
2,020 |
1,918 |
$6K |
| J3301 |
Triamcinolone acet inj nos |
1,014 |
979 |
$4K |
| J7050 |
Normal saline solution infus |
8,292 |
7,759 |
$3K |
| 20610 |
|
85 |
49 |
$939.37 |
| 90471 |
|
42 |
41 |
$351.12 |
| J1885 |
Ketorolac tromethamine inj |
376 |
361 |
$349.60 |
| 90674 |
|
47 |
46 |
$348.95 |
| J1100 |
Dexamethasone sodium phos |
527 |
504 |
$251.92 |
| 99442 |
|
24 |
24 |
$233.60 |
| J2919 |
Inj, methylpred sod succ 5mg |
14 |
12 |
$25.17 |
| G0008 |
Admin influenza virus vac |
28 |
28 |
$0.00 |
| 85651 |
|
29 |
29 |
$0.00 |
| 36415 |
|
30 |
30 |
$0.00 |
| 86140 |
|
12 |
12 |
$0.00 |
| 80053 |
|
25 |
25 |
$0.00 |
| 85025 |
|
28 |
28 |
$0.00 |
| 90688 |
|
27 |
27 |
$0.00 |
| 90658 |
|
15 |
15 |
$0.00 |