| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1955 |
Injection, levocarnitine, per 1 gm |
565 |
91 |
$13K |
| J3415 |
Injection, pyridoxine hcl, 100 mg |
567 |
91 |
$5K |
| J3411 |
Injection, thiamine hcl, 100 mg |
563 |
91 |
$1K |
| 64450 |
|
70 |
14 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
566 |
91 |
$352.11 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
604 |
105 |
$5.02 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
609 |
105 |
$0.00 |
| 95923 |
|
19 |
12 |
$0.00 |
| 93922 |
|
38 |
12 |
$0.00 |