| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
8,011 |
6,304 |
$192K |
| 11721 |
|
6,740 |
5,855 |
$87K |
| 99214 |
|
2,617 |
1,639 |
$86K |
| 11043 |
|
2,328 |
1,165 |
$78K |
| A6010 |
Collagen based wound filler |
42 |
38 |
$77K |
| 11042 |
|
5,351 |
2,465 |
$69K |
| 99203 |
|
1,261 |
1,198 |
$57K |
| L4397 |
Static or dynami afo pre ots |
306 |
138 |
$23K |
| 73630 |
|
1,658 |
954 |
$22K |
| 11307 |
|
1,049 |
665 |
$21K |
| L3000 |
Ft insert ucb berkeley shell |
130 |
62 |
$17K |
| 99233 |
Prolong inpt eval add15 m |
318 |
154 |
$7K |
| 29581 |
|
814 |
384 |
$7K |
| 17110 |
|
168 |
143 |
$7K |
| 20550 |
|
273 |
112 |
$6K |
| 11306 |
|
214 |
144 |
$5K |
| 99204 |
|
71 |
67 |
$5K |
| 10060 |
|
143 |
100 |
$4K |
| 76882 |
|
158 |
97 |
$3K |
| 97597 |
|
131 |
82 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
26 |
26 |
$2K |
| 11056 |
|
83 |
54 |
$968.16 |
| 99212 |
|
86 |
63 |
$901.32 |
| 29580 |
|
31 |
13 |
$829.40 |
| 99309 |
|
46 |
37 |
$589.09 |
| 99308 |
|
54 |
42 |
$496.02 |
| 99072 |
|
1,484 |
1,249 |
$436.60 |
| J3301 |
Triamcinolone acet inj nos |
322 |
188 |
$252.53 |
| A6443 |
Conform band n/s w>=3"<5"/yd |
29 |
25 |
$131.10 |
| J1100 |
Dexamethasone sodium phos |
419 |
242 |
$38.74 |
| A6402 |
Sterile gauze <= 16 sq in |
29 |
25 |
$28.80 |