| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0585 |
Injection,onabotulinumtoxina |
5,549 |
5,130 |
$4.29M |
| 99214 |
|
37,208 |
35,588 |
$3.23M |
| 99204 |
|
15,871 |
15,379 |
$2.10M |
| 64615 |
|
8,694 |
8,457 |
$1.35M |
| 99213 |
|
22,624 |
21,591 |
$1.28M |
| 95819 |
|
4,191 |
4,082 |
$1.02M |
| 99215 |
Prolong outpt/office vis |
4,405 |
4,330 |
$662K |
| 64483 |
|
2,452 |
2,131 |
$536K |
| 99233 |
Prolong inpt eval add15 m |
4,944 |
2,958 |
$434K |
| 99223 |
Prolong inpt eval add15 m |
1,992 |
1,923 |
$326K |
| 70553 |
|
1,028 |
936 |
$303K |
| 69145 |
|
670 |
628 |
$295K |
| 99205 |
Prolong outpt/office vis |
1,378 |
1,350 |
$271K |
| 64484 |
|
1,579 |
1,372 |
$161K |
| 95886 |
|
1,278 |
1,235 |
$138K |
| 64479 |
|
595 |
515 |
$128K |
| 95885 |
|
1,048 |
1,012 |
$114K |
| 64493 |
|
547 |
359 |
$104K |
| 99203 |
|
1,265 |
1,232 |
$104K |
| 95816 |
|
266 |
261 |
$86K |
| 99232 |
|
1,354 |
883 |
$81K |
| 99222 |
|
757 |
702 |
$79K |
| 99212 |
|
1,821 |
1,745 |
$67K |
| 64480 |
|
542 |
462 |
$63K |
| 95720 |
|
229 |
117 |
$61K |
| 64616 |
|
377 |
350 |
$51K |
| 64635 |
|
229 |
103 |
$48K |
| 64494 |
|
523 |
343 |
$47K |
| 64495 |
|
521 |
336 |
$45K |
| 99244 |
|
240 |
232 |
$43K |
| 64636 |
|
229 |
103 |
$39K |
| 95910 |
|
168 |
166 |
$36K |
| 92557 |
|
918 |
898 |
$33K |
| 27096 |
|
301 |
252 |
$28K |
| 92540 |
|
204 |
196 |
$25K |
| 95908 |
|
123 |
122 |
$16K |
| 95909 |
|
93 |
92 |
$14K |
| 95951 |
|
38 |
25 |
$13K |
| 99245 |
|
56 |
56 |
$13K |
| 70551 |
|
52 |
52 |
$11K |
| 99211 |
|
631 |
612 |
$11K |
| 99202 |
|
202 |
196 |
$11K |
| 92567 |
|
756 |
738 |
$11K |
| J3300 |
Triamcinolone a inj prs-free |
84 |
75 |
$9K |
| 92504 |
|
529 |
453 |
$8K |
| 99417 |
Prolong home eval add 15m |
142 |
140 |
$7K |
| 96119 |
|
16 |
13 |
$5K |
| 72100 |
|
126 |
121 |
$4K |
| 99284 |
|
53 |
47 |
$4K |
| 62321 |
|
13 |
13 |
$4K |
| 99285 |
|
26 |
26 |
$3K |
| 72040 |
|
92 |
92 |
$3K |
| J1030 |
Methylprednisolone 40 mg inj |
590 |
480 |
$3K |
| A9579 |
Gad-base mr contrast nos,1ml |
747 |
675 |
$3K |
| 62323 |
|
12 |
12 |
$2K |
| 77002 |
|
35 |
29 |
$2K |
| 20610 |
|
35 |
27 |
$2K |
| 92519 |
|
13 |
13 |
$2K |
| 20553 |
|
32 |
25 |
$2K |
| 95810 |
|
13 |
13 |
$2K |
| 99231 |
|
40 |
23 |
$1K |
| 69210 |
|
45 |
37 |
$1K |
| J1100 |
Dexamethasone sodium phos |
2,788 |
2,364 |
$705.72 |
| 92550 |
|
12 |
12 |
$255.90 |
| A9585 |
Gadobutrol injection |
88 |
85 |
$223.64 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
393 |
307 |
$61.21 |