| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,567 |
2,023 |
$58K |
| 99309 |
|
2,135 |
1,209 |
$41K |
| 99308 |
|
2,448 |
1,295 |
$27K |
| 96372 |
|
1,454 |
941 |
$13K |
| 99307 |
|
1,323 |
613 |
$11K |
| 99213 |
|
348 |
312 |
$9K |
| 99490 |
Ccm add 20min |
394 |
356 |
$5K |
| 90833 |
|
960 |
634 |
$4K |
| J1030 |
Methylprednisolone 40 mg inj |
455 |
344 |
$1K |
| 99493 |
|
87 |
83 |
$1K |
| 81025 |
|
211 |
196 |
$1K |
| 99212 |
|
75 |
47 |
$1K |
| J2300 |
Inj nalbuphine hydrochloride |
368 |
235 |
$690.94 |
| 90785 |
|
960 |
633 |
$651.77 |
| J2550 |
Promethazine hcl injection |
384 |
242 |
$323.96 |
| 93000 |
|
17 |
14 |
$205.60 |
| 99204 |
|
27 |
13 |
$187.22 |
| J3420 |
Vitamin b12 injection |
116 |
69 |
$114.58 |
| 90688 |
|
18 |
17 |
$96.20 |
| J1100 |
Dexamethasone sodium phos |
430 |
327 |
$92.98 |
| 81003 |
|
80 |
76 |
$92.13 |
| J1885 |
Ketorolac tromethamine inj |
71 |
53 |
$60.90 |
| J1200 |
Diphenhydramine hcl injectio |
175 |
119 |
$47.23 |
| 81002 |
|
18 |
15 |
$31.64 |
| G0008 |
Admin influenza virus vac |
17 |
17 |
$28.08 |
| J0696 |
Ceftriaxone sodium injection |
25 |
13 |
$6.70 |
| G8427 |
Docrev cur meds by elig clin |
3,300 |
2,036 |
$0.00 |
| 80176 |
|
26 |
13 |
$0.00 |