| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
11,424 |
10,538 |
$1.12M |
| 92507 |
|
2,941 |
865 |
$410K |
| 99284 |
|
4,009 |
3,495 |
$372K |
| 99282 |
|
2,915 |
2,809 |
$332K |
| 74177 |
|
849 |
773 |
$240K |
| 80053 |
|
4,361 |
3,452 |
$128K |
| 96361 |
|
2,325 |
1,737 |
$118K |
| 99285 |
|
1,129 |
998 |
$113K |
| 70450 |
|
752 |
630 |
$91K |
| 74176 |
|
242 |
210 |
$73K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
921 |
816 |
$49K |
| 97110 |
|
2,224 |
622 |
$47K |
| 97530 |
|
1,787 |
528 |
$30K |
| 71275 |
|
66 |
64 |
$27K |
| 84703 |
|
2,420 |
2,155 |
$22K |
| 87426 |
|
3,078 |
2,839 |
$21K |
| 87081 |
|
1,153 |
1,088 |
$20K |
| 96365 |
|
887 |
772 |
$20K |
| 99281 |
|
194 |
185 |
$19K |
| 80048 |
|
699 |
605 |
$15K |
| 94664 |
|
323 |
296 |
$10K |
| 96360 |
|
205 |
192 |
$7K |
| 87804 |
|
5,044 |
2,517 |
$7K |
| 81001 |
|
3,603 |
3,143 |
$6K |
| 97162 |
|
90 |
80 |
$6K |
| 87635 |
|
257 |
236 |
$5K |
| 71045 |
|
1,880 |
1,623 |
$4K |
| 96375 |
|
1,995 |
1,551 |
$4K |
| 96372 |
|
1,422 |
1,104 |
$4K |
| 85025 |
|
5,285 |
4,181 |
$4K |
| G0378 |
Hospital observation per hr |
253 |
161 |
$3K |
| 92523 |
|
14 |
14 |
$3K |
| 93005 |
|
2,034 |
1,674 |
$2K |
| 87086 |
|
1,255 |
1,112 |
$2K |
| 97112 |
|
129 |
42 |
$2K |
| 71046 |
|
133 |
125 |
$2K |
| J7030 |
Normal saline solution infus |
2,414 |
1,713 |
$1K |
| 96366 |
|
18 |
13 |
$1K |
| 82948 |
|
746 |
354 |
$1K |
| 96374 |
|
2,212 |
1,880 |
$1K |
| 80307 |
|
225 |
205 |
$927.32 |
| 85379 |
|
261 |
236 |
$873.88 |
| 96376 |
|
284 |
176 |
$839.45 |
| 84702 |
|
244 |
202 |
$819.59 |
| 84484 |
|
1,636 |
1,100 |
$802.48 |
| 85610 |
|
749 |
632 |
$725.41 |
| 73110 |
|
16 |
16 |
$723.03 |
| J2405 |
Ondansetron hcl injection |
1,675 |
1,257 |
$641.13 |
| J1885 |
Ketorolac tromethamine inj |
1,815 |
1,407 |
$580.56 |
| 83690 |
|
1,631 |
1,406 |
$514.70 |
| J1100 |
Dexamethasone sodium phos |
529 |
325 |
$480.00 |
| 83735 |
|
726 |
613 |
$414.20 |
| 85730 |
|
535 |
459 |
$367.87 |
| 87880 |
|
1,287 |
1,214 |
$340.92 |
| 87210 |
|
106 |
95 |
$222.15 |
| 83605 |
|
209 |
169 |
$220.88 |
| 87077 |
|
124 |
111 |
$159.55 |
| 87807 |
|
1,022 |
978 |
$154.07 |
| J2270 |
Morphine sulfate injection |
732 |
461 |
$150.87 |
| 82550 |
|
324 |
238 |
$121.59 |
| 87040 |
|
248 |
138 |
$98.14 |
| 87186 |
|
187 |
164 |
$63.99 |
| 87591 |
|
149 |
137 |
$56.15 |
| 87491 |
|
149 |
137 |
$56.15 |
| J0696 |
Ceftriaxone sodium injection |
458 |
350 |
$49.07 |
| 97750 |
|
13 |
12 |
$38.36 |
| 86140 |
|
197 |
172 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
208 |
169 |
$0.00 |
| 86901 |
|
58 |
52 |
$0.00 |
| 83880 |
|
17 |
15 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
114 |
61 |
$0.00 |
| J1170 |
Hydromorphone injection |
160 |
80 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
183 |
164 |
$0.00 |
| 84443 |
|
56 |
51 |
$0.00 |
| 82077 |
|
12 |
12 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
76 |
67 |
$0.00 |
| J8501 |
Oral aprepitant |
14 |
14 |
$0.00 |
| J2060 |
Lorazepam injection |
33 |
24 |
$0.00 |
| 86403 |
|
37 |
26 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
16 |
13 |
$0.00 |
| 85652 |
|
33 |
25 |
$0.00 |
| 73630 |
|
16 |
13 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
190 |
135 |
$0.00 |
| 86900 |
|
41 |
36 |
$0.00 |
| J7120 |
Ringers lactate infusion |
154 |
128 |
$0.00 |
| J7040 |
Normal saline solution infus |
12 |
12 |
$0.00 |