| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
|
25,406 |
23,027 |
$1.11M |
| 99214 |
|
18,670 |
16,958 |
$998K |
| 64635 |
|
879 |
702 |
$189K |
| 99213 |
|
5,739 |
5,333 |
$159K |
| 64493 |
|
1,572 |
809 |
$101K |
| 64636 |
|
867 |
694 |
$81K |
| 64494 |
|
1,563 |
808 |
$52K |
| 27096 |
|
250 |
159 |
$32K |
| 99204 |
|
285 |
256 |
$25K |
| 62323 |
|
186 |
146 |
$20K |
| J0702 |
Betamethasone acet&sod phosp |
1,232 |
1,064 |
$16K |
| 64483 |
|
81 |
47 |
$13K |
| 99205 |
Prolong outpt/office vis |
49 |
44 |
$6K |
| 96372 |
|
529 |
444 |
$5K |
| J3301 |
Triamcinolone acet inj nos |
956 |
885 |
$4K |
| 93000 |
|
143 |
133 |
$2K |
| J3300 |
Triamcinolone a inj prs-free |
560 |
497 |
$2K |
| 81025 |
|
853 |
732 |
$2K |
| 99203 |
|
39 |
36 |
$2K |
| 20610 |
|
43 |
38 |
$2K |
| 62321 |
|
15 |
12 |
$2K |
| 62322 |
|
15 |
13 |
$1K |
| 99212 |
|
90 |
77 |
$1K |
| 20552 |
|
33 |
30 |
$985.20 |
| 99152 |
|
101 |
75 |
$875.34 |
| 72275 |
|
14 |
12 |
$828.00 |
| J2250 |
Inj midazolam hydrochloride |
1,445 |
1,318 |
$731.78 |
| J1885 |
Ketorolac tromethamine inj |
370 |
320 |
$631.58 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,205 |
1,971 |
$617.82 |
| S0020 |
Injection, bupivicaine hydro |
121 |
103 |
$158.40 |
| 99358 |
Prolong nursin fac eval 15m |
242 |
230 |
$152.62 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
126 |
108 |
$30.65 |
| J2001 |
Lidocaine injection |
41 |
31 |
$0.00 |
| A4215 |
Sterile needle |
473 |
411 |
$0.00 |
| J3490 |
Drugs unclassified injection |
97 |
84 |
$0.00 |
| A4550 |
Surgical trays |
15 |
13 |
$0.00 |