| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
1,778 |
1,682 |
$13K |
| 99152 |
|
541 |
529 |
$12K |
| G3002 |
Chronic pain mgmt 30 mins |
271 |
268 |
$5K |
| 99215 |
Prolong outpt/office vis |
349 |
337 |
$4K |
| 96136 |
|
321 |
305 |
$3K |
| 96127 |
|
1,750 |
1,634 |
$3K |
| 99499 |
|
48 |
25 |
$2K |
| 96372 |
|
340 |
326 |
$1K |
| J0702 |
Betamethasone acet&sod phosp |
418 |
413 |
$967.00 |
| 99153 |
Mod sedat endo service >5yrs |
67 |
67 |
$422.12 |
| 99213 |
|
39 |
37 |
$310.80 |
| 99458 |
|
13 |
13 |
$278.72 |
| J1885 |
Ketorolac tromethamine inj |
381 |
365 |
$174.70 |
| J3010 |
Fentanyl citrate injection |
500 |
453 |
$167.24 |
| G2011 |
Alcohol/sub misuse assess |
57 |
57 |
$144.50 |
| 99454 |
|
13 |
13 |
$130.78 |
| J3301 |
Triamcinolone acet inj nos |
145 |
143 |
$129.53 |
| J2250 |
Inj midazolam hydrochloride |
387 |
378 |
$127.59 |
| 99457 |
|
13 |
13 |
$114.92 |
| 99484 |
|
13 |
13 |
$101.92 |
| J2704 |
Inj, propofol, 10 mg |
322 |
317 |
$72.31 |
| J1100 |
Dexamethasone sodium phos |
178 |
170 |
$57.59 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
719 |
477 |
$35.45 |