| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
18,741 |
18,080 |
$1.15M |
| J0585 |
Injection,onabotulinumtoxina |
868 |
790 |
$648K |
| 64483 |
|
1,334 |
1,296 |
$537K |
| 62323 |
|
1,190 |
1,158 |
$337K |
| 64493 |
|
627 |
609 |
$268K |
| 62321 |
|
262 |
257 |
$89K |
| 64642 |
|
344 |
340 |
$78K |
| 64635 |
|
70 |
68 |
$70K |
| Q3014 |
Telehealth facility fee |
160 |
159 |
$2K |
| S0020 |
Injection, bupivicaine hydro |
178 |
171 |
$859.06 |
| 97161 |
|
15 |
15 |
$672.29 |
| 64494 |
|
341 |
308 |
$605.00 |
| 64636 |
|
45 |
26 |
$543.20 |
| 97530 |
|
66 |
62 |
$227.24 |
| 72040 |
|
13 |
12 |
$158.19 |
| J1100 |
Dexamethasone sodium phos |
1,710 |
1,679 |
$102.24 |
| 97760 |
|
25 |
25 |
$55.42 |
| J1040 |
Methylprednisolone 80 mg inj |
510 |
503 |
$27.20 |
| 95886 |
|
175 |
174 |
$19.20 |
| 64643 |
|
92 |
92 |
$18.80 |
| 95874 |
|
173 |
173 |
$18.58 |
| 97110 |
|
15 |
12 |
$5.02 |
| J3490 |
Drugs unclassified injection |
463 |
457 |
$0.00 |
| J2001 |
Lidocaine injection |
272 |
262 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
1,254 |
1,202 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
58 |
56 |
$0.00 |
| 76942 |
|
57 |
57 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
30 |
30 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
13 |
13 |
$0.00 |