| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
18,094 |
14,978 |
$293K |
| 99214 |
|
987 |
862 |
$30K |
| 99204 |
|
491 |
433 |
$27K |
| 99203 |
|
101 |
90 |
$4K |
| 64493 |
|
84 |
50 |
$3K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
505 |
382 |
$2K |
| 64494 |
|
68 |
38 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
762 |
612 |
$1K |
| 62323 |
|
12 |
12 |
$1K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
459 |
374 |
$779.40 |
| 20610 |
|
39 |
25 |
$361.26 |
| 80305 |
|
152 |
129 |
$255.76 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
63 |
41 |
$247.13 |
| A4930 |
Gloves, sterile, per pair |
923 |
722 |
$48.02 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
20 |
15 |
$45.32 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
782 |
617 |
$20.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
951 |
755 |
$11.30 |
| A4550 |
Surgical trays |
1,338 |
1,022 |
$0.00 |