| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
8,771 |
7,953 |
$444K |
| 99214 |
|
5,849 |
5,390 |
$375K |
| 97110 |
|
8,728 |
2,955 |
$266K |
| 97140 |
|
8,161 |
2,340 |
$147K |
| 99203 |
|
1,923 |
1,813 |
$129K |
| 99204 |
|
1,271 |
1,205 |
$119K |
| 97530 |
|
2,098 |
900 |
$89K |
| 97112 |
|
2,293 |
829 |
$78K |
| 97161 |
|
772 |
724 |
$40K |
| 73630 |
|
779 |
612 |
$19K |
| 73564 |
|
389 |
274 |
$11K |
| 73610 |
|
409 |
340 |
$11K |
| 72100 |
|
331 |
317 |
$8K |
| 72110 |
|
238 |
223 |
$8K |
| 20610 |
|
289 |
253 |
$8K |
| 99215 |
Prolong outpt/office vis |
48 |
46 |
$4K |
| 73562 |
|
184 |
135 |
$4K |
| 73130 |
|
157 |
122 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
311 |
294 |
$946.75 |
| 95886 |
|
12 |
12 |
$883.54 |
| 73110 |
|
14 |
12 |
$436.56 |
| 72040 |
|
12 |
12 |
$350.52 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
28 |
26 |
$280.07 |
| 73030 |
|
14 |
12 |
$245.30 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
43 |
37 |
$198.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
42 |
41 |
$62.38 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
58 |
56 |
$12.95 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
27 |
24 |
$3.16 |