| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
35,791 |
33,611 |
$1.68M |
| 99213 |
|
7,410 |
7,085 |
$231K |
| 99215 |
Prolong outpt/office vis |
3,251 |
3,045 |
$186K |
| 99204 |
|
2,618 |
2,457 |
$173K |
| 95886 |
|
2,384 |
2,262 |
$100K |
| 64615 |
|
810 |
759 |
$66K |
| 99205 |
Prolong outpt/office vis |
715 |
683 |
$59K |
| 95911 |
|
499 |
467 |
$50K |
| 95816 |
|
974 |
915 |
$47K |
| 95810 |
|
117 |
111 |
$25K |
| 99245 |
|
260 |
249 |
$24K |
| 95819 |
|
286 |
275 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
272 |
256 |
$13K |
| 96375 |
|
115 |
53 |
$9K |
| 95811 |
|
39 |
38 |
$9K |
| J0586 |
Abobotulinumtoxina |
22 |
12 |
$8K |
| 96365 |
|
169 |
78 |
$8K |
| J1110 |
Inj dihydroergotamine mesylt |
81 |
38 |
$7K |
| 70553 |
|
26 |
26 |
$6K |
| 99244 |
|
76 |
75 |
$5K |
| 95909 |
|
73 |
67 |
$5K |
| 96366 |
|
115 |
53 |
$4K |
| 99232 |
|
68 |
51 |
$977.97 |
| 95991 |
|
18 |
18 |
$688.49 |
| 93005 |
|
114 |
54 |
$681.57 |
| 99236 |
Prolong inpt eval add15 m |
12 |
12 |
$604.57 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
13 |
13 |
$447.05 |
| 99233 |
Prolong inpt eval add15 m |
18 |
12 |
$239.68 |
| J1885 |
Ketorolac tromethamine inj |
107 |
52 |
$237.41 |
| J7030 |
Normal saline solution infus |
113 |
54 |
$184.40 |
| A9577 |
Inj multihance |
16 |
16 |
$173.80 |
| 95874 |
|
15 |
12 |
$128.76 |
| G2211 |
Complex e/m visit add on |
4,884 |
4,574 |
$79.46 |
| J2405 |
Ondansetron hcl injection |
110 |
52 |
$71.84 |
| J2060 |
Lorazepam injection |
88 |
39 |
$58.63 |
| J1100 |
Dexamethasone sodium phos |
80 |
38 |
$38.99 |
| 94761 |
|
81 |
41 |
$11.30 |