| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
12,023 |
10,953 |
$869K |
| 99213 |
|
3,635 |
3,498 |
$198K |
| 99203 |
|
2,519 |
2,515 |
$181K |
| 99204 |
|
1,241 |
1,237 |
$133K |
| 87880 |
|
2,494 |
2,448 |
$29K |
| 71046 |
|
1,454 |
1,067 |
$22K |
| 87811 |
|
667 |
646 |
$18K |
| 87804 |
|
1,246 |
728 |
$16K |
| 96372 |
|
566 |
452 |
$9K |
| 81025 |
|
1,411 |
1,340 |
$8K |
| 74019 |
|
257 |
188 |
$5K |
| 81000 |
|
1,569 |
1,512 |
$5K |
| 99215 |
Prolong outpt/office vis |
46 |
43 |
$4K |
| 99202 |
|
56 |
56 |
$3K |
| 85025 |
|
554 |
284 |
$2K |
| 81002 |
|
664 |
643 |
$1K |
| 94640 |
|
64 |
61 |
$935.12 |
| 86328 |
|
21 |
21 |
$662.76 |
| 73630 |
|
43 |
27 |
$621.20 |
| 96360 |
|
12 |
12 |
$477.20 |
| 80053 |
|
119 |
118 |
$442.59 |
| ATP14 |
|
18 |
18 |
$141.57 |
| A6455 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard |
240 |
226 |
$104.80 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
62 |
59 |
$102.24 |
| 36415 |
|
213 |
207 |
$40.90 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
42 |
41 |
$14.99 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
40 |
38 |
$5.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
13 |
13 |
$0.00 |