| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
9,900 |
8,927 |
$774K |
| 99213 |
|
9,173 |
8,253 |
$489K |
| S9088 |
Services provided in urgent |
1,948 |
1,795 |
$140K |
| 96372 |
|
4,888 |
4,526 |
$91K |
| 99051 |
|
558 |
530 |
$19K |
| J3301 |
Triamcinolone acet inj nos |
3,198 |
3,041 |
$17K |
| 99203 |
|
172 |
170 |
$16K |
| 99204 |
|
94 |
93 |
$13K |
| 90471 |
|
598 |
591 |
$13K |
| 90756 |
|
479 |
474 |
$10K |
| 20552 |
|
145 |
138 |
$5K |
| 71046 |
|
192 |
183 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
1,942 |
1,787 |
$4K |
| 90686 |
|
160 |
157 |
$3K |
| J1100 |
Dexamethasone sodium phos |
3,417 |
3,242 |
$2K |
| 90674 |
|
54 |
53 |
$1K |
| G0447 |
Behavior counsel obesity 15m |
54 |
52 |
$1K |
| 87880 |
|
66 |
65 |
$1K |
| J3490 |
Drugs unclassified injection |
1,868 |
1,711 |
$1K |
| J2010 |
Lincomycin injection |
42 |
41 |
$879.93 |
| 72100 |
|
14 |
13 |
$367.64 |
| J1885 |
Ketorolac tromethamine inj |
178 |
161 |
$259.62 |
| 99406 |
|
17 |
17 |
$236.77 |
| 81000 |
|
56 |
54 |
$160.20 |
| 94640 |
|
15 |
14 |
$104.40 |
| A4216 |
Sterile water/saline, 10 ml |
20 |
16 |
$0.00 |
| G0008 |
Admin influenza virus vac |
61 |
57 |
$0.00 |