| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96413 |
|
4,061 |
1,828 |
$141K |
| 96367 |
|
3,806 |
1,586 |
$90K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
1,070 |
428 |
$73K |
| 99214 |
|
3,109 |
2,461 |
$68K |
| 99215 |
Prolong outpt/office vis |
1,882 |
1,463 |
$51K |
| 96375 |
|
2,387 |
1,046 |
$31K |
| 80053 |
|
1,954 |
1,292 |
$18K |
| 99213 |
|
1,014 |
929 |
$16K |
| 83735 |
|
1,844 |
1,236 |
$11K |
| 96372 |
|
2,102 |
1,389 |
$11K |
| 96365 |
|
355 |
198 |
$9K |
| 83615 |
|
1,856 |
1,230 |
$7K |
| 96417 |
|
195 |
79 |
$5K |
| 85027 |
|
665 |
484 |
$4K |
| 85025 |
|
675 |
481 |
$4K |
| 85007 |
|
651 |
482 |
$2K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
3,686 |
1,735 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
65 |
30 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,570 |
951 |
$2K |
| 96415 |
|
56 |
26 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
682 |
472 |
$914.60 |
| 82378 |
|
14 |
12 |
$187.88 |
| J3490 |
Unclassified drugs |
161 |
97 |
$50.06 |
| 85045 |
|
14 |
13 |
$34.32 |