| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
25,910 |
23,135 |
$1.52M |
| 99283 |
|
28,701 |
25,685 |
$1.07M |
| 43239 |
|
2,482 |
2,200 |
$416K |
| 85025 |
|
30,931 |
27,122 |
$244K |
| 80053 |
|
21,569 |
18,861 |
$212K |
| 87426 |
|
7,893 |
6,681 |
$176K |
| 99282 |
|
4,532 |
4,145 |
$170K |
| 93010 |
|
36,012 |
27,164 |
$159K |
| 70450 |
|
1,947 |
1,716 |
$146K |
| 87880 |
|
7,718 |
6,670 |
$114K |
| 87633 |
|
634 |
481 |
$103K |
| 93005 |
|
10,222 |
8,820 |
$100K |
| 93306 |
|
3,648 |
2,123 |
$88K |
| 87088 |
|
8,700 |
7,849 |
$82K |
| 87400 |
|
12,397 |
7,305 |
$80K |
| 99214 |
|
3,830 |
2,414 |
$78K |
| 81001 |
|
20,311 |
18,085 |
$72K |
| 80307 |
|
1,440 |
1,282 |
$60K |
| 99285 |
|
248 |
217 |
$57K |
| 71045 |
|
11,251 |
9,847 |
$53K |
| 83605 |
|
6,436 |
5,349 |
$50K |
| 59025 |
|
8,398 |
4,612 |
$39K |
| 74177 |
|
331 |
302 |
$39K |
| 80048 |
|
4,062 |
3,564 |
$35K |
| 87070 |
|
2,792 |
2,487 |
$31K |
| 84484 |
|
4,259 |
3,481 |
$31K |
| 99232 |
|
2,713 |
759 |
$29K |
| 99223 |
Prolong inpt eval add15 m |
596 |
419 |
$29K |
| 87798 |
|
987 |
483 |
$29K |
| G0480 |
Drug test def 1-7 classes |
1,031 |
493 |
$22K |
| 87581 |
|
635 |
482 |
$17K |
| 87804 |
|
1,674 |
769 |
$16K |
| 81025 |
|
4,800 |
4,340 |
$15K |
| 99233 |
Prolong inpt eval add15 m |
554 |
222 |
$14K |
| 83690 |
|
2,337 |
2,122 |
$14K |
| 87420 |
|
921 |
819 |
$14K |
| G0330 |
Facility svs dental rehab |
12 |
12 |
$13K |
| 88304 |
|
822 |
762 |
$12K |
| 83735 |
|
2,049 |
1,798 |
$11K |
| 99213 |
|
599 |
449 |
$9K |
| 82150 |
|
1,561 |
1,423 |
$8K |
| 93000 |
|
608 |
439 |
$6K |
| 85610 |
|
1,900 |
1,685 |
$6K |
| 43237 |
|
52 |
42 |
$6K |
| 45380 |
|
25 |
25 |
$6K |
| 78452 |
|
113 |
61 |
$6K |
| 83880 |
|
266 |
237 |
$5K |
| 76377 |
|
92 |
80 |
$5K |
| 81002 |
|
2,262 |
1,868 |
$5K |
| 71046 |
|
530 |
477 |
$5K |
| 87040 |
|
611 |
345 |
$5K |
| 96372 |
|
681 |
537 |
$4K |
| 43259 |
|
27 |
26 |
$4K |
| 99204 |
|
121 |
76 |
$4K |
| D9420 |
|
13 |
12 |
$4K |
| 80076 |
|
947 |
832 |
$4K |
| 84443 |
|
294 |
264 |
$3K |
| G0463 |
Hospital outpt clinic visit |
1,721 |
1,173 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
802 |
723 |
$3K |
| 43249 |
|
39 |
39 |
$3K |
| 85730 |
|
1,699 |
1,495 |
$3K |
| 82550 |
|
441 |
396 |
$3K |
| 95810 |
|
17 |
14 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
2,148 |
1,935 |
$3K |
| 88305 |
|
2,854 |
2,155 |
$3K |
| 84702 |
|
229 |
206 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,861 |
1,644 |
$2K |
| 76815 |
|
95 |
79 |
$2K |
| 97110 |
|
105 |
30 |
$2K |
| 78227 |
|
12 |
12 |
$2K |
| 92507 |
|
95 |
27 |
$2K |
| 76801 |
|
74 |
65 |
$2K |
| 45385 |
|
15 |
15 |
$2K |
| 84550 |
|
218 |
135 |
$1K |
| 95819 |
|
100 |
53 |
$1K |
| 87077 |
|
2,626 |
2,351 |
$1K |
| 99281 |
|
25 |
25 |
$1K |
| 99238 |
|
92 |
68 |
$1K |
| 83615 |
|
175 |
104 |
$1K |
| 96374 |
|
149 |
135 |
$1K |
| 72125 |
|
15 |
14 |
$897.92 |
| 81000 |
|
434 |
329 |
$844.95 |
| 99212 |
|
61 |
47 |
$770.00 |
| 99222 |
|
65 |
47 |
$665.14 |
| J1100 |
Dexamethasone sodium phos |
924 |
815 |
$655.57 |
| 82140 |
|
66 |
52 |
$566.94 |
| 94640 |
|
63 |
55 |
$552.68 |
| J2405 |
Ondansetron hcl injection |
2,120 |
1,847 |
$550.88 |
| 99231 |
|
49 |
14 |
$537.60 |
| J1170 |
Hydromorphone injection |
288 |
239 |
$530.86 |
| 87186 |
|
79 |
67 |
$500.70 |
| 87280 |
|
26 |
26 |
$417.04 |
| 85379 |
|
47 |
44 |
$359.36 |
| 84439 |
|
74 |
65 |
$343.06 |
| 93018 |
|
79 |
49 |
$297.67 |
| 87635 |
|
13 |
12 |
$287.36 |
| 86900 |
|
159 |
129 |
$256.34 |
| A9537 |
Tc99m mebrofenin |
12 |
12 |
$245.00 |
| 86901 |
|
142 |
117 |
$237.70 |
| 82565 |
|
29 |
25 |
$177.40 |
| 86850 |
|
69 |
52 |
$175.71 |
| 93016 |
|
43 |
24 |
$153.86 |
| 80061 |
|
38 |
27 |
$109.60 |
| J7120 |
Ringers lactate infusion |
203 |
159 |
$105.12 |
| 84156 |
|
16 |
12 |
$53.88 |
| 85027 |
|
52 |
39 |
$51.56 |
| J2270 |
Morphine sulfate injection |
13 |
13 |
$40.08 |
| 36415 |
|
4,932 |
4,169 |
$23.77 |
| J2550 |
Promethazine hcl injection |
24 |
17 |
$14.88 |
| J3010 |
Fentanyl citrate injection |
194 |
155 |
$6.77 |
| J2001 |
Lidocaine injection |
3,921 |
3,245 |
$0.03 |
| 1160F |
|
166 |
137 |
$0.00 |
| 3288F |
|
149 |
106 |
$0.00 |
| 1159F |
|
166 |
137 |
$0.00 |
| 3078F |
|
103 |
73 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
16 |
12 |
$0.00 |
| 3077F |
|
15 |
15 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
14 |
14 |
$0.00 |
| 99152 |
|
32 |
26 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
16 |
12 |
$0.00 |
| 1126F |
|
263 |
212 |
$0.00 |
| 82962 |
|
157 |
138 |
$0.00 |
| 3074F |
|
70 |
50 |
$0.00 |
| 3008F |
|
151 |
133 |
$0.00 |
| 1036F |
|
87 |
64 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
60 |
52 |
$0.00 |
| 0012A |
|
45 |
21 |
$0.00 |
| 80320 |
|
59 |
53 |
$0.00 |
| J3490 |
Drugs unclassified injection |
35 |
28 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
13 |
13 |
$0.00 |
| 0011A |
|
51 |
26 |
$0.00 |