| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
5,609 |
5,390 |
$219K |
| 80307 |
|
1,920 |
1,892 |
$81K |
| 99213 |
|
2,729 |
2,603 |
$56K |
| 97112 |
|
1,537 |
488 |
$35K |
| 72082 |
|
492 |
475 |
$24K |
| 99443 |
|
392 |
386 |
$18K |
| 99215 |
Prolong outpt/office vis |
257 |
254 |
$16K |
| 97110 |
|
1,041 |
389 |
$14K |
| 99204 |
|
201 |
191 |
$12K |
| 97530 |
|
483 |
191 |
$10K |
| 99442 |
|
201 |
198 |
$6K |
| 97150 |
|
410 |
192 |
$5K |
| 95886 |
|
49 |
46 |
$5K |
| 20611 |
|
84 |
57 |
$4K |
| 62323 |
|
32 |
32 |
$4K |
| 80305 |
|
484 |
458 |
$4K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
477 |
455 |
$3K |
| 95912 |
|
19 |
19 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
382 |
366 |
$2K |
| 64493 |
|
13 |
12 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
230 |
217 |
$2K |
| 99212 |
|
78 |
75 |
$2K |
| 97163 |
|
17 |
16 |
$1K |
| 72110 |
|
12 |
12 |
$492.64 |
| CP003 |
|
15 |
13 |
$147.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
40 |
40 |
$78.86 |
| 99000 |
|
33 |
31 |
$31.76 |
| 96127 |
|
679 |
647 |
$13.44 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
17 |
17 |
$0.70 |
| J3490 |
Unclassified drugs |
19 |
12 |
$0.00 |