| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
22,101 |
14,092 |
$1.16M |
| 99214 |
|
14,743 |
11,377 |
$845K |
| 96413 |
|
8,318 |
4,666 |
$652K |
| Q5106 |
Inj retacrit non-esrd use |
1,871 |
1,090 |
$452K |
| 99233 |
Prolong inpt eval add15 m |
3,752 |
1,879 |
$440K |
| 96411 |
|
5,224 |
2,908 |
$321K |
| J9271 |
Inj pembrolizumab |
57 |
40 |
$297K |
| 99232 |
|
3,383 |
1,571 |
$296K |
| 36593 |
|
13,167 |
7,925 |
$293K |
| 96417 |
|
3,233 |
2,147 |
$224K |
| 96415 |
|
4,541 |
2,708 |
$206K |
| 99212 |
|
3,318 |
1,970 |
$179K |
| 99215 |
Prolong outpt/office vis |
1,578 |
1,407 |
$135K |
| 99223 |
Prolong inpt eval add15 m |
1,159 |
1,078 |
$116K |
| 85025 |
|
31,071 |
17,842 |
$99K |
| Q5107 |
Inj mvasi 10 mg |
56 |
37 |
$93K |
| J1626 |
Granisetron hcl injection |
6,682 |
3,380 |
$75K |
| J0885 |
Epoetin alfa, non-esrd |
218 |
116 |
$65K |
| 96372 |
|
4,634 |
2,927 |
$56K |
| J1100 |
Dexamethasone sodium phos |
6,216 |
3,205 |
$38K |
| J1642 |
Inj heparin sodium per 10 u |
1,266 |
754 |
$29K |
| 96401 |
|
1,058 |
640 |
$24K |
| J7050 |
Normal saline solution infus |
5,884 |
3,414 |
$21K |
| 82950 |
|
9,121 |
5,240 |
$18K |
| 99000 |
|
4,881 |
3,983 |
$17K |
| J9171 |
Docetaxel injection |
26 |
13 |
$14K |
| J1200 |
Diphenhydramine hcl injectio |
5,621 |
3,014 |
$12K |
| J7030 |
Normal saline solution infus |
3,513 |
2,109 |
$9K |
| J1644 |
Inj heparin sodium per 1000u |
5,641 |
3,867 |
$9K |
| 99205 |
Prolong outpt/office vis |
63 |
63 |
$9K |
| 99245 |
|
90 |
89 |
$9K |
| 90686 |
|
677 |
674 |
$8K |
| 99239 |
|
159 |
151 |
$8K |
| 96365 |
|
153 |
105 |
$5K |
| 90670 |
|
56 |
56 |
$5K |
| 90732 |
|
59 |
59 |
$3K |
| 90471 |
|
138 |
136 |
$2K |
| 90677 |
|
12 |
12 |
$2K |
| 96367 |
|
37 |
26 |
$1K |
| 36415 |
|
1,430 |
1,216 |
$1K |
| 85610 |
|
596 |
436 |
$1K |
| J9045 |
Carboplatin injection |
29 |
24 |
$682.15 |
| J7040 |
Normal saline solution infus |
315 |
192 |
$645.68 |
| 96366 |
|
38 |
28 |
$615.86 |
| 90756 |
|
69 |
68 |
$557.07 |
| 99406 |
|
44 |
44 |
$492.26 |
| 90658 |
|
18 |
18 |
$317.03 |
| 90656 |
|
19 |
19 |
$98.69 |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
17 |
17 |
$87.05 |
| J3420 |
Vitamin b12 injection |
27 |
24 |
$34.41 |
| G0008 |
Admin influenza virus vac |
64 |
64 |
$0.00 |