| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
7,828 |
6,820 |
$545K |
| 99213 |
|
1,190 |
1,044 |
$62K |
| 96372 |
|
4,879 |
3,408 |
$32K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,088 |
964 |
$5K |
| 87804 |
|
509 |
271 |
$5K |
| 99204 |
|
26 |
25 |
$4K |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
150 |
132 |
$3K |
| 81003 |
|
1,066 |
1,000 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,411 |
1,212 |
$2K |
| 92551 |
|
239 |
223 |
$1K |
| 99173 |
|
243 |
225 |
$1K |
| 99393 |
|
14 |
14 |
$585.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
381 |
338 |
$538.72 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,251 |
1,128 |
$398.94 |
| 87880 |
|
32 |
31 |
$392.00 |
| 90688 |
|
16 |
16 |
$312.74 |
| 90734 |
|
14 |
13 |
$257.27 |
| 90651 |
|
17 |
13 |
$257.27 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
16 |
14 |
$149.37 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
17 |
17 |
$53.97 |
| 3078F |
|
2,707 |
2,355 |
$0.00 |
| 3077F |
|
134 |
121 |
$0.00 |
| 3075F |
|
266 |
236 |
$0.00 |
| 3074F |
|
2,839 |
2,468 |
$0.00 |
| 3044F |
|
278 |
261 |
$0.00 |
| 3079F |
|
678 |
611 |
$0.00 |
| 3080F |
|
129 |
113 |
$0.00 |