| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
36,839 |
24,536 |
$2.20M |
| 80307 |
|
14,370 |
13,833 |
$576K |
| 99214 |
|
3,171 |
2,977 |
$230K |
| 96372 |
|
7,390 |
6,781 |
$108K |
| 99215 |
Prolong outpt/office vis |
480 |
462 |
$46K |
| 99212 |
|
1,051 |
908 |
$46K |
| 99442 |
|
979 |
884 |
$43K |
| 99204 |
|
163 |
163 |
$18K |
| 99396 |
|
126 |
125 |
$11K |
| 99203 |
|
129 |
129 |
$10K |
| J1885 |
Ketorolac tromethamine inj |
5,193 |
4,923 |
$8K |
| J1040 |
Methylprednisolone 80 mg inj |
752 |
721 |
$8K |
| J2300 |
Inj nalbuphine hydrochloride |
2,957 |
2,841 |
$8K |
| 80305 |
|
1,010 |
903 |
$7K |
| 93000 |
|
782 |
768 |
$7K |
| 99395 |
|
54 |
54 |
$4K |
| 36415 |
|
1,370 |
1,343 |
$4K |
| 99490 |
Ccm add 20min |
96 |
96 |
$3K |
| J3420 |
Vitamin b12 injection |
1,755 |
1,628 |
$3K |
| J1030 |
Methylprednisolone 40 mg inj |
262 |
243 |
$1K |
| 81025 |
|
170 |
167 |
$1K |
| 20610 |
|
26 |
25 |
$889.62 |
| 81003 |
|
441 |
433 |
$782.47 |
| J1100 |
Dexamethasone sodium phos |
1,906 |
1,846 |
$778.29 |
| 90756 |
|
28 |
28 |
$673.89 |
| 96130 |
|
17 |
17 |
$573.90 |
| 90686 |
|
29 |
28 |
$454.36 |
| J1010 |
Inj, methylpred acetate 1 mg |
47 |
46 |
$449.45 |
| G0008 |
Admin influenza virus vac |
52 |
52 |
$413.24 |
| 99051 |
|
66 |
48 |
$360.94 |
| 99443 |
|
13 |
13 |
$298.74 |
| 99406 |
|
30 |
28 |
$217.89 |
| J3301 |
Triamcinolone acet inj nos |
55 |
55 |
$204.83 |
| 90471 |
|
27 |
27 |
$158.41 |
| 81002 |
|
64 |
63 |
$157.74 |
| J2930 |
Methylprednisolone injection |
28 |
28 |
$148.83 |
| 96138 |
|
20 |
20 |
$80.84 |
| 82044 |
|
13 |
13 |
$68.83 |
| 82962 |
|
26 |
26 |
$49.80 |
| 4004F |
|
29 |
27 |
$0.00 |