| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
14,947 |
11,483 |
$376K |
| 99214 |
|
4,483 |
3,629 |
$145K |
| 87428 |
|
2,090 |
1,890 |
$135K |
| 99203 |
|
1,092 |
1,004 |
$50K |
| 87880 |
|
4,215 |
3,713 |
$46K |
| 96372 |
|
2,924 |
2,245 |
$32K |
| 87426 |
|
760 |
706 |
$29K |
| 87804 |
|
1,348 |
827 |
$11K |
| 76805 |
|
149 |
114 |
$9K |
| 59409 |
|
14 |
14 |
$9K |
| 99441 |
|
433 |
348 |
$8K |
| 76817 |
|
81 |
62 |
$4K |
| 80053 |
|
561 |
479 |
$4K |
| 82306 |
|
115 |
110 |
$3K |
| 99000 |
|
402 |
387 |
$3K |
| 85027 |
|
630 |
552 |
$3K |
| 99232 |
|
197 |
65 |
$2K |
| 93306 |
|
105 |
100 |
$2K |
| 99204 |
|
29 |
25 |
$2K |
| J2010 |
Lincomycin injection |
113 |
77 |
$2K |
| 59430 |
|
18 |
16 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,008 |
756 |
$1K |
| 99309 |
|
182 |
130 |
$1K |
| 84443 |
|
108 |
103 |
$1K |
| 93010 |
|
363 |
301 |
$1K |
| 76815 |
|
15 |
14 |
$931.32 |
| J3301 |
Triamcinolone acet inj nos |
206 |
182 |
$834.26 |
| 93000 |
|
165 |
148 |
$798.78 |
| 82607 |
|
53 |
53 |
$644.19 |
| 99308 |
|
176 |
112 |
$542.10 |
| 82728 |
|
43 |
43 |
$479.12 |
| 20610 |
|
17 |
12 |
$422.08 |
| 82746 |
|
27 |
27 |
$346.81 |
| 99307 |
|
27 |
26 |
$315.37 |
| 80061 |
|
46 |
42 |
$221.07 |
| J2930 |
Methylprednisolone injection |
50 |
37 |
$219.37 |
| 81003 |
|
176 |
158 |
$199.67 |
| J1030 |
Methylprednisolone 40 mg inj |
39 |
30 |
$156.84 |
| 80048 |
|
25 |
24 |
$156.21 |
| J1040 |
Methylprednisolone 80 mg inj |
21 |
19 |
$153.21 |
| J0702 |
Betamethasone acet&sod phosp |
15 |
15 |
$114.50 |
| J1100 |
Dexamethasone sodium phos |
340 |
259 |
$112.30 |
| 82570 |
|
16 |
13 |
$51.39 |
| J0690 |
Cefazolin sodium injection |
42 |
35 |
$37.53 |
| J1885 |
Ketorolac tromethamine inj |
36 |
27 |
$37.16 |
| 36415 |
|
66 |
55 |
$1.07 |
| G8427 |
Docrev cur meds by elig clin |
31 |
25 |
$0.00 |