| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
20,669 |
18,602 |
$592K |
| 99214 |
|
9,566 |
8,160 |
$335K |
| 11721 |
|
13,200 |
13,066 |
$283K |
| 15275 |
|
117 |
44 |
$278K |
| 11042 |
|
3,644 |
1,853 |
$272K |
| 11056 |
|
8,352 |
8,257 |
$145K |
| L3000 |
Ft insert ucb berkeley shell |
746 |
375 |
$90K |
| 99203 |
|
3,162 |
3,154 |
$76K |
| 99204 |
|
1,735 |
1,733 |
$57K |
| 73630 |
|
3,196 |
2,614 |
$32K |
| 20550 |
|
1,319 |
1,142 |
$24K |
| 29581 |
|
916 |
393 |
$23K |
| 93922 |
|
478 |
473 |
$17K |
| Q4133 |
Grafix stravix prime pl sqcm |
23 |
13 |
$17K |
| 97750 |
|
430 |
430 |
$13K |
| 20610 |
|
1,679 |
1,286 |
$12K |
| 11057 |
|
361 |
349 |
$5K |
| 11750 |
|
30 |
27 |
$5K |
| 97597 |
|
329 |
201 |
$4K |
| 11043 |
|
23 |
12 |
$3K |
| 73620 |
|
926 |
491 |
$3K |
| 73600 |
|
771 |
403 |
$3K |
| 29580 |
|
165 |
45 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
30 |
27 |
$3K |
| A5500 |
Diab shoe for density insert |
36 |
25 |
$3K |
| 99215 |
Prolong outpt/office vis |
123 |
123 |
$3K |
| 99308 |
|
130 |
80 |
$2K |
| 11720 |
|
499 |
492 |
$2K |
| A5512 |
Multi den insert direct form |
17 |
12 |
$1K |
| 73610 |
|
361 |
319 |
$1K |
| 99309 |
|
49 |
27 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
270 |
262 |
$1K |
| J7321 |
Hyalgan supartz visco-3 dose |
25 |
13 |
$988.08 |
| J0702 |
Betamethasone acet&sod phosp |
781 |
745 |
$851.20 |
| 76881 |
|
178 |
103 |
$808.54 |
| 76942 |
|
141 |
105 |
$644.73 |
| J1030 |
Methylprednisolone 40 mg inj |
371 |
359 |
$575.90 |
| 99231 |
|
27 |
12 |
$539.04 |
| 99232 |
|
44 |
25 |
$535.66 |
| J7328 |
Gelsyn-3 injection 0.1 mg |
106 |
54 |
$496.12 |
| L4361 |
Pneuma/vac walk boot pre ots |
12 |
12 |
$492.50 |
| J1100 |
Dexamethasone sodium phos |
122 |
119 |
$409.67 |
| 29540 |
|
121 |
117 |
$205.57 |
| 11055 |
|
56 |
53 |
$201.56 |
| G0127 |
Trim nail(s) |
211 |
210 |
$142.31 |
| J1010 |
Inj, methylpred acetate 1 mg |
32 |
29 |
$120.50 |
| 11730 |
|
15 |
12 |
$57.45 |
| 99212 |
|
58 |
58 |
$48.87 |
| 99307 |
|
14 |
14 |
$13.70 |
| 99233 |
Prolong inpt eval add15 m |
36 |
13 |
$0.00 |
| 1100F |
|
38 |
38 |
$0.00 |
| 0518F |
|
12 |
12 |
$0.00 |
| 71045 |
|
18 |
16 |
$0.00 |