| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4210 |
Orth dev repair/repl minor p |
11,720 |
5,499 |
$1.66M |
| 99212 |
|
17,718 |
16,341 |
$474K |
| A5500 |
Diab shoe for density insert |
7,303 |
3,535 |
$293K |
| 99213 |
|
5,735 |
5,533 |
$287K |
| 73630 |
|
13,150 |
7,014 |
$230K |
| 29540 |
|
6,927 |
6,504 |
$226K |
| 11721 |
|
9,490 |
9,031 |
$162K |
| 11042 |
|
3,252 |
1,443 |
$158K |
| L3000 |
Ft insert ucb berkeley shell |
468 |
233 |
$153K |
| A5512 |
Multi den insert direct form |
7,560 |
3,657 |
$135K |
| 99203 |
|
1,741 |
1,699 |
$130K |
| L4205 |
Ortho dvc repair per 15 min |
5,509 |
5,165 |
$89K |
| 97597 |
|
1,310 |
877 |
$54K |
| 11720 |
|
3,709 |
3,517 |
$50K |
| 29581 |
|
1,332 |
631 |
$36K |
| L1902 |
Afo ankle gauntlet pre ots |
425 |
328 |
$36K |
| A4580 |
Cast supplies (plaster) |
115 |
113 |
$31K |
| J0702 |
Betamethasone acet&sod phosp |
2,012 |
1,741 |
$16K |
| 99072 |
|
791 |
659 |
$16K |
| 11765 |
|
224 |
126 |
$14K |
| 20605 |
|
269 |
237 |
$12K |
| 29799 |
|
79 |
79 |
$10K |
| 11056 |
|
307 |
290 |
$9K |
| 73610 |
|
325 |
183 |
$7K |
| G0127 |
Trim nail(s) |
564 |
535 |
$6K |
| 99202 |
|
105 |
98 |
$6K |
| 20550 |
|
96 |
89 |
$5K |
| 11750 |
|
37 |
27 |
$5K |
| 73620 |
|
229 |
121 |
$5K |
| 11719 |
|
580 |
556 |
$4K |
| 97760 |
|
116 |
116 |
$3K |
| 64450 |
|
17 |
12 |
$1K |
| 99214 |
|
13 |
13 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
540 |
481 |
$763.22 |
| 11055 |
|
27 |
25 |
$543.48 |
| J3420 |
Vitamin b12 injection |
16 |
12 |
$25.37 |
| J1100 |
Dexamethasone sodium phos |
202 |
183 |
$7.28 |
| G8427 |
Docrev cur meds by elig clin |
98 |
89 |
$0.00 |