| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
18,949 |
11,717 |
$599K |
| 99213 |
|
11,754 |
7,286 |
$271K |
| 20553 |
|
16,123 |
8,097 |
$221K |
| 98925 |
|
16,948 |
9,683 |
$191K |
| 20610 |
|
10,161 |
5,174 |
$149K |
| 96372 |
|
17,274 |
7,361 |
$115K |
| J3490 |
Drugs unclassified injection |
36,464 |
11,797 |
$104K |
| 22505 |
|
6,835 |
3,184 |
$97K |
| 99212 |
|
5,782 |
2,813 |
$96K |
| J3301 |
Triamcinolone acet inj nos |
24,150 |
12,638 |
$38K |
| 99205 |
Prolong outpt/office vis |
354 |
264 |
$31K |
| 20552 |
|
1,010 |
861 |
$22K |
| 99204 |
|
179 |
137 |
$16K |
| 97760 |
|
1,105 |
773 |
$12K |
| 20605 |
|
1,001 |
536 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
15,253 |
9,379 |
$10K |
| 80307 |
|
653 |
276 |
$9K |
| 80305 |
|
713 |
526 |
$5K |
| 73562 |
|
283 |
207 |
$5K |
| G0659 |
Drug test def simple all cl |
81 |
68 |
$4K |
| 72100 |
|
241 |
152 |
$4K |
| J3420 |
Vitamin b12 injection |
4,164 |
2,973 |
$3K |
| 97161 |
|
43 |
32 |
$2K |
| 87635 |
|
48 |
43 |
$2K |
| 95913 |
|
32 |
18 |
$2K |
| 97110 |
|
148 |
101 |
$1K |
| 96002 |
|
99 |
61 |
$593.76 |
| 73030 |
|
43 |
25 |
$428.23 |
| 72040 |
|
18 |
14 |
$419.21 |
| J0696 |
Ceftriaxone sodium injection |
304 |
181 |
$405.21 |
| J2001 |
Lidocaine injection |
12,559 |
5,982 |
$334.24 |
| 73600 |
|
113 |
59 |
$264.29 |
| 73610 |
|
20 |
12 |
$244.24 |
| 97032 |
|
54 |
45 |
$214.06 |
| 97014 |
|
18 |
13 |
$177.30 |
| 94760 |
|
214 |
168 |
$168.79 |
| J7999 |
Compounded drug, noc |
4,129 |
1,709 |
$20.30 |
| 97124 |
|
19 |
16 |
$17.58 |
| J2795 |
Ropivacaine hcl injection |
149 |
136 |
$6.03 |
| J1100 |
Dexamethasone sodium phos |
121 |
75 |
$4.08 |
| S0020 |
Injection, bupivicaine hydro |
16 |
12 |
$0.00 |
| 97010 |
|
13 |
12 |
$0.00 |
| L0630 |
Lso r post pnl sj-t9 pre cst |
20 |
14 |
$0.00 |