| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
13,753 |
12,523 |
$497K |
| 80307 |
|
4,225 |
4,071 |
$164K |
| 64483 |
|
88 |
86 |
$19K |
| 01936 |
|
187 |
133 |
$17K |
| G0480 |
Drug test def 1-7 classes |
226 |
176 |
$13K |
| 99213 |
|
384 |
372 |
$6K |
| 01938 |
|
39 |
39 |
$4K |
| G0482 |
Drug test def 15-21 classes |
17 |
12 |
$2K |
| J1030 |
Methylprednisolone 40 mg inj |
137 |
134 |
$757.17 |
| J3301 |
Triamcinolone acet inj nos |
127 |
124 |
$434.23 |
| J3010 |
Fentanyl citrate injection |
138 |
84 |
$338.00 |
| J1100 |
Dexamethasone sodium phos |
628 |
532 |
$194.14 |
| J1040 |
Methylprednisolone 80 mg inj |
27 |
24 |
$163.41 |
| J1010 |
Inj, methylpred acetate 1 mg |
59 |
49 |
$134.75 |
| 99152 |
|
14 |
12 |
$115.47 |
| 96132 |
|
26 |
25 |
$84.30 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
612 |
580 |
$32.22 |
| J2001 |
Lidocaine injection |
297 |
240 |
$16.40 |
| J2704 |
Inj, propofol, 10 mg |
461 |
389 |
$0.43 |
| J2250 |
Inj midazolam hydrochloride |
59 |
57 |
$0.00 |
| G0396 |
Alcohol/subs interv 15-30mn |
25 |
24 |
$0.00 |
| 99072 |
|
133 |
121 |
$0.00 |
| 96130 |
|
26 |
25 |
$0.00 |
| 96138 |
|
26 |
25 |
$0.00 |
| G0444 |
Depression screen annual |
12 |
12 |
$0.00 |