| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1568 |
Octagam injection |
387 |
218 |
$2.30M |
| 99214 |
|
18,232 |
16,724 |
$1.76M |
| 99213 |
|
25,634 |
23,032 |
$1.68M |
| 99203 |
|
13,359 |
12,695 |
$1.41M |
| 20610 |
|
11,316 |
8,982 |
$1.03M |
| 73564 |
|
4,585 |
3,243 |
$163K |
| J0585 |
Injection,onabotulinumtoxina |
132 |
130 |
$135K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
222 |
179 |
$126K |
| 99204 |
|
681 |
651 |
$97K |
| J7323 |
Euflexxa inj per dose |
319 |
157 |
$83K |
| 73630 |
|
2,643 |
1,950 |
$83K |
| 64483 |
|
263 |
246 |
$79K |
| L3000 |
Ft insert ucb berkeley shell |
413 |
186 |
$70K |
| L0651 |
Lso sag-co shell pnl pre ots |
191 |
143 |
$68K |
| 72100 |
|
1,644 |
1,586 |
$67K |
| L4361 |
Pneuma/vac walk boot pre ots |
244 |
233 |
$55K |
| 73610 |
|
1,587 |
1,323 |
$51K |
| 73130 |
|
1,518 |
1,134 |
$47K |
| J1040 |
Methylprednisolone 80 mg inj |
3,315 |
3,047 |
$45K |
| 72110 |
|
840 |
791 |
$45K |
| 73010 |
|
1,113 |
922 |
$34K |
| 73020 |
|
1,223 |
1,003 |
$33K |
| 95886 |
|
264 |
262 |
$26K |
| 87635 |
|
496 |
474 |
$24K |
| 99244 |
|
96 |
96 |
$20K |
| 96365 |
|
504 |
285 |
$19K |
| 95885 |
|
309 |
291 |
$18K |
| 73110 |
|
568 |
429 |
$18K |
| 72148 |
|
28 |
26 |
$13K |
| L1833 |
Ko adj jnt pos r sup pre ots |
39 |
28 |
$12K |
| 72040 |
|
277 |
271 |
$11K |
| 64615 |
|
80 |
80 |
$10K |
| L3807 |
Whfo w/o joints pre cst |
71 |
56 |
$10K |
| 72052 |
|
138 |
131 |
$9K |
| L0627 |
Lo sag ri an/pos pnl pre cst |
59 |
55 |
$8K |
| 73502 |
|
208 |
199 |
$8K |
| J1010 |
Inj, methylpred acetate 1 mg |
904 |
768 |
$8K |
| J0702 |
Betamethasone acet&sod phosp |
1,160 |
858 |
$8K |
| 95909 |
|
43 |
43 |
$8K |
| 96366 |
|
477 |
270 |
$7K |
| 64479 |
|
27 |
24 |
$6K |
| L3908 |
Who cock-up nonmolde pre ots |
154 |
113 |
$6K |
| L1902 |
Afo ankle gauntlet pre ots |
93 |
85 |
$5K |
| J1030 |
Methylprednisolone 40 mg inj |
485 |
470 |
$5K |
| 96375 |
|
405 |
254 |
$5K |
| L0631 |
Lso sag r an/pos pnl pre cst |
12 |
12 |
$4K |
| L3995 |
Sock fracture or equal each |
116 |
91 |
$3K |
| 20553 |
|
85 |
84 |
$3K |
| L2840 |
Tibial length sock fx or equ |
139 |
139 |
$2K |
| 20605 |
|
39 |
36 |
$2K |
| L2830 |
Soft interface above knee se |
47 |
39 |
$1K |
| 73140 |
|
42 |
40 |
$1K |
| 20550 |
|
14 |
12 |
$982.63 |
| 73562 |
|
33 |
26 |
$896.24 |
| L2397 |
Suspension sleeve lower ext |
18 |
14 |
$867.99 |
| 29125 |
|
14 |
12 |
$847.45 |
| J1200 |
Diphenhydramine hcl injectio |
366 |
230 |
$547.62 |
| J1020 |
Methylprednisolone 20 mg inj |
31 |
26 |
$115.56 |
| S0020 |
Injection, bupivicaine hydro |
103 |
103 |
$1.85 |