| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
19,963 |
13,476 |
$659K |
| L0642 |
Lo sag ri an/pos pnl pre ots |
1,487 |
674 |
$444K |
| E0730 |
Tens four lead |
1,482 |
744 |
$299K |
| 99214 |
|
6,028 |
4,389 |
$297K |
| 62322 |
|
5,486 |
3,777 |
$267K |
| A4595 |
Tens suppl 2 lead per month |
9,153 |
6,996 |
$224K |
| 80305 |
|
24,382 |
16,643 |
$213K |
| 20553 |
|
4,767 |
3,204 |
$136K |
| 99203 |
|
3,162 |
2,153 |
$125K |
| 20610 |
|
2,733 |
1,738 |
$112K |
| 99204 |
|
1,369 |
969 |
$91K |
| 99000 |
|
2,854 |
1,601 |
$89K |
| 62323 |
|
1,383 |
1,047 |
$81K |
| 62264 |
|
351 |
271 |
$62K |
| 99212 |
|
2,624 |
2,434 |
$60K |
| E0190 |
Positioning cushion |
1,898 |
869 |
$58K |
| E0210 |
Electric heat pad standard |
2,061 |
919 |
$52K |
| L0180 |
Cer post col occ/man sup adj |
159 |
66 |
$46K |
| J7322 |
Hyaluronan, hymo or hymo one |
21 |
12 |
$21K |
| 20552 |
|
625 |
492 |
$18K |
| 81025 |
|
4,548 |
3,099 |
$16K |
| 99211 |
|
1,285 |
1,146 |
$16K |
| L2397 |
Suspension sleeve lower ext |
169 |
71 |
$14K |
| 64450 |
|
384 |
252 |
$12K |
| J1100 |
Dexamethasone sodium phos |
15,898 |
10,806 |
$12K |
| 99202 |
|
323 |
309 |
$10K |
| 99215 |
Prolong outpt/office vis |
215 |
174 |
$9K |
| 62321 |
|
137 |
135 |
$9K |
| J3301 |
Triamcinolone acet inj nos |
1,025 |
616 |
$8K |
| 64445 |
|
143 |
135 |
$7K |
| 99205 |
Prolong outpt/office vis |
78 |
56 |
$7K |
| J1030 |
Methylprednisolone 40 mg inj |
653 |
339 |
$6K |
| 96372 |
|
309 |
264 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
1,109 |
788 |
$2K |
| 64550 |
|
344 |
263 |
$2K |
| 99441 |
|
53 |
52 |
$1K |
| G2012 |
Brief check in by md/qhp |
149 |
134 |
$1K |
| 99406 |
|
108 |
58 |
$707.91 |
| 72275 |
|
68 |
65 |
$339.69 |
| 99454 |
|
37 |
27 |
$319.64 |
| 99457 |
|
37 |
25 |
$310.08 |
| J3420 |
Vitamin b12 injection |
95 |
82 |
$201.94 |
| 81002 |
|
517 |
435 |
$27.28 |
| 82570 |
|
204 |
161 |
$13.98 |
| 6045F |
|
525 |
490 |
$0.67 |
| 77003 |
|
22 |
22 |
$0.00 |