| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,590 |
2,162 |
$8K |
| 90832 |
|
556 |
467 |
$3K |
| 99213 |
|
412 |
327 |
$2K |
| 96374 |
|
249 |
165 |
$1K |
| 99215 |
Prolong outpt/office vis |
507 |
345 |
$1K |
| 76942 |
|
85 |
52 |
$679.19 |
| 96360 |
|
87 |
51 |
$434.44 |
| 90833 |
|
111 |
79 |
$376.01 |
| 99152 |
|
277 |
189 |
$306.95 |
| 90834 |
|
142 |
108 |
$76.59 |
| 97535 |
|
21 |
13 |
$57.84 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
84 |
74 |
$56.26 |
| 96375 |
|
16 |
12 |
$33.78 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
22 |
12 |
$10.18 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
304 |
216 |
$1.53 |
| 36000 |
|
189 |
123 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
14 |
12 |
$0.00 |