| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
33,464 |
21,725 |
$5.24M |
| H2020 |
Therapeutic behavioral services, per diem |
810 |
455 |
$123K |
| 99214 |
|
12,130 |
8,524 |
$10K |
| 99213 |
|
13,796 |
10,335 |
$8K |
| 99392 |
|
606 |
440 |
$284.64 |
| 90710 |
|
71 |
56 |
$0.00 |
| 99396 |
|
348 |
304 |
$0.00 |
| 90837 |
|
144 |
81 |
$0.00 |
| 87804 |
|
470 |
385 |
$0.00 |
| 90670 |
|
273 |
226 |
$0.00 |
| 99393 |
|
295 |
208 |
$0.00 |
| 99391 |
|
463 |
346 |
$0.00 |
| 99173 |
|
223 |
162 |
$0.00 |
| 99204 |
|
73 |
55 |
$0.00 |
| 90460 |
|
236 |
181 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
18 |
12 |
$0.00 |
| 99395 |
|
139 |
111 |
$0.00 |
| 81003 |
|
15 |
12 |
$0.00 |
| 90833 |
|
508 |
306 |
$0.00 |
| 81025 |
|
171 |
116 |
$0.00 |
| 99203 |
|
110 |
91 |
$0.00 |
| 87880 |
|
839 |
654 |
$0.00 |
| 99307 |
|
328 |
201 |
$0.00 |
| 90648 |
|
176 |
143 |
$0.00 |
| 99177 |
|
287 |
183 |
$0.00 |
| 90473 |
|
219 |
176 |
$0.00 |
| 99212 |
|
338 |
215 |
$0.00 |
| 90633 |
|
64 |
53 |
$0.00 |
| 90472 |
|
314 |
241 |
$0.00 |
| 96160 |
|
20 |
16 |
$0.00 |
| 99284 |
|
36 |
12 |
$0.00 |
| 80305 |
|
224 |
155 |
$0.00 |
| 91320 |
|
30 |
27 |
$0.00 |
| 90461 |
|
129 |
94 |
$0.00 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
15 |
13 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
39 |
33 |
$0.00 |
| 90715 |
|
34 |
34 |
$0.00 |
| 90672 |
|
47 |
33 |
$0.00 |
| 0013A |
|
42 |
23 |
$0.00 |
| 99394 |
|
21 |
16 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
386 |
273 |
$0.00 |
| 90471 |
|
555 |
420 |
$0.00 |
| 92551 |
|
254 |
177 |
$0.00 |
| 90686 |
|
856 |
686 |
$0.00 |
| 87426 |
|
755 |
632 |
$0.00 |
| 99309 |
|
3,895 |
1,923 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
129 |
111 |
$0.00 |
| 96110 |
|
126 |
91 |
$0.00 |
| 99308 |
|
6,317 |
2,362 |
$0.00 |
| 96127 |
|
593 |
424 |
$0.00 |
| 90656 |
|
177 |
148 |
$0.00 |
| 00000 |
|
542 |
153 |
$0.00 |
| 87807 |
|
103 |
70 |
$0.00 |
| 90723 |
|
53 |
46 |
$0.00 |
| 92567 |
|
18 |
13 |
$0.00 |
| 90680 |
|
153 |
127 |
$0.00 |
| 99283 |
|
162 |
73 |
$0.00 |
| 96161 |
|
220 |
189 |
$0.00 |
| 94640 |
|
28 |
25 |
$0.00 |
| 91301 |
|
42 |
23 |
$0.00 |
| 90834 |
|
100 |
52 |
$0.00 |
| 90651 |
|
15 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$0.00 |
| 87428 |
|
26 |
22 |
$0.00 |