| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
4,263 |
4,062 |
$262K |
| 99233 |
Prolong inpt eval add15 m |
2,545 |
665 |
$146K |
| 95886 |
|
2,789 |
2,743 |
$133K |
| 99223 |
Prolong inpt eval add15 m |
1,365 |
1,079 |
$132K |
| 99232 |
|
3,228 |
883 |
$126K |
| 99203 |
|
2,092 |
2,088 |
$110K |
| 95913 |
|
928 |
926 |
$103K |
| 99204 |
|
1,109 |
1,109 |
$98K |
| 99213 |
|
2,121 |
2,076 |
$89K |
| 64483 |
|
494 |
493 |
$64K |
| 95910 |
|
727 |
718 |
$51K |
| 99215 |
Prolong outpt/office vis |
414 |
411 |
$40K |
| J1040 |
Methylprednisolone 80 mg inj |
1,069 |
1,047 |
$10K |
| 99308 |
|
250 |
174 |
$8K |
| 99205 |
Prolong outpt/office vis |
55 |
55 |
$7K |
| 98927 |
|
180 |
161 |
$5K |
| 99309 |
|
91 |
58 |
$4K |
| 64493 |
|
26 |
25 |
$3K |
| 95909 |
|
52 |
52 |
$3K |
| 95911 |
|
29 |
28 |
$3K |
| 99238 |
|
50 |
50 |
$2K |
| 76942 |
|
81 |
81 |
$2K |
| 20611 |
|
36 |
26 |
$2K |
| 20553 |
|
64 |
64 |
$2K |
| J1010 |
Inj, methylpred acetate 1 mg |
230 |
222 |
$2K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,410 |
1,389 |
$1K |
| 64484 |
|
24 |
24 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
13 |
13 |
$1K |
| J1100 |
Dexamethasone sodium phos |
623 |
620 |
$1K |
| 64494 |
|
14 |
13 |
$901.37 |
| 64644 |
|
12 |
12 |
$741.20 |
| 98926 |
|
14 |
13 |
$270.95 |
| 95874 |
|
12 |
12 |
$133.72 |
| J3301 |
Triamcinolone acet inj nos |
14 |
14 |
$53.84 |
| G2211 |
Complex e/m visit add on |
207 |
207 |
$43.75 |
| 1160F |
|
53 |
53 |
$0.00 |
| 1159F |
|
53 |
53 |
$0.00 |
| 1036F |
|
29 |
29 |
$0.00 |
| 3008F |
|
16 |
16 |
$0.00 |