| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
14,980 |
12,690 |
$1.18M |
| 97139 |
|
16,738 |
3,088 |
$639K |
| J3490 |
Drugs unclassified injection |
12,487 |
5,803 |
$291K |
| 74177 |
|
481 |
466 |
$199K |
| 96374 |
|
1,663 |
1,517 |
$156K |
| 97750 |
|
1,622 |
950 |
$118K |
| 77067 |
|
596 |
595 |
$107K |
| 96375 |
|
1,416 |
1,167 |
$89K |
| 92507 |
|
849 |
324 |
$88K |
| 97799 |
|
2,348 |
466 |
$88K |
| 87631 |
|
668 |
651 |
$78K |
| 70450 |
|
364 |
358 |
$78K |
| 99201 |
|
1,373 |
1,193 |
$72K |
| J0131 |
Inj, acetaminophen (nos) |
299 |
288 |
$70K |
| J2405 |
Ondansetron hcl injection |
1,612 |
1,404 |
$58K |
| 72148 |
|
136 |
136 |
$56K |
| J1100 |
Dexamethasone sodium phos |
1,126 |
981 |
$53K |
| J2704 |
Inj, propofol, 10 mg |
764 |
668 |
$53K |
| 93005 |
|
1,345 |
1,248 |
$52K |
| 96372 |
|
1,055 |
902 |
$48K |
| 73721 |
|
124 |
119 |
$43K |
| 71046 |
|
1,295 |
1,266 |
$40K |
| 76700 |
|
373 |
373 |
$37K |
| 96365 |
|
312 |
293 |
$37K |
| 80053 |
|
2,569 |
2,274 |
$36K |
| 80307 |
|
299 |
292 |
$35K |
| 85025 |
|
3,095 |
2,644 |
$32K |
| J1642 |
Inj heparin sodium per 10 u |
363 |
178 |
$28K |
| 96361 |
|
667 |
599 |
$27K |
| 76856 |
|
282 |
280 |
$26K |
| 97803 |
|
255 |
238 |
$26K |
| 59025 |
|
704 |
303 |
$23K |
| J2250 |
Inj midazolam hydrochloride |
791 |
744 |
$22K |
| J1885 |
Ketorolac tromethamine inj |
1,157 |
1,059 |
$20K |
| 76705 |
|
243 |
242 |
$20K |
| 94640 |
|
657 |
574 |
$20K |
| 97802 |
|
109 |
109 |
$20K |
| 71045 |
|
1,030 |
987 |
$19K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
833 |
769 |
$19K |
| J2710 |
Neostigmine methylslfte inj |
53 |
52 |
$18K |
| 70553 |
|
25 |
25 |
$17K |
| G0202 |
Scr mammo bi incl cad |
89 |
49 |
$16K |
| 97164 |
|
224 |
121 |
$16K |
| 76770 |
|
185 |
185 |
$14K |
| J3010 |
Fentanyl citrate injection |
1,148 |
1,046 |
$14K |
| J0690 |
Cefazolin sodium injection |
495 |
442 |
$13K |
| 73221 |
|
26 |
26 |
$12K |
| 99152 |
|
220 |
210 |
$12K |
| 84484 |
|
710 |
649 |
$12K |
| 76830 |
|
119 |
119 |
$11K |
| 77063 |
|
239 |
239 |
$11K |
| 96413 |
|
187 |
98 |
$11K |
| 83690 |
|
1,097 |
1,012 |
$10K |
| 73630 |
|
291 |
280 |
$10K |
| J0696 |
Ceftriaxone sodium injection |
323 |
301 |
$9K |
| J1170 |
Hydromorphone injection |
528 |
412 |
$9K |
| 73610 |
|
235 |
226 |
$9K |
| 73560 |
|
331 |
327 |
$8K |
| 73030 |
|
228 |
224 |
$8K |
| 93971 |
|
56 |
56 |
$8K |
| 73130 |
|
212 |
209 |
$8K |
| 43239 |
|
96 |
96 |
$7K |
| 83605 |
|
489 |
466 |
$7K |
| 88305 |
|
441 |
428 |
$7K |
| 72100 |
|
174 |
174 |
$7K |
| 76641 |
|
54 |
52 |
$7K |
| 87040 |
|
312 |
296 |
$7K |
| J2270 |
Morphine sulfate injection |
357 |
302 |
$7K |
| 81003 |
|
1,896 |
1,759 |
$7K |
| 96360 |
|
60 |
56 |
$7K |
| Z7502 |
|
198 |
188 |
$7K |
| 90715 |
|
97 |
96 |
$6K |
| 93306 |
|
25 |
25 |
$6K |
| 73110 |
|
165 |
158 |
$6K |
| 71260 |
|
15 |
14 |
$6K |
| 80048 |
|
518 |
461 |
$6K |
| 83735 |
|
552 |
498 |
$5K |
| 83880 |
|
106 |
103 |
$5K |
| 72125 |
|
14 |
14 |
$5K |
| 87086 |
|
406 |
396 |
$4K |
| 81025 |
|
728 |
698 |
$4K |
| 71250 |
|
25 |
25 |
$4K |
| G0206 |
Dx mammo incl cad uni |
22 |
12 |
$4K |
| 87880 |
|
312 |
309 |
$3K |
| 76805 |
|
26 |
26 |
$3K |
| 85610 |
|
620 |
586 |
$3K |
| 82947 |
|
410 |
335 |
$3K |
| 87077 |
|
251 |
247 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
293 |
246 |
$3K |
| 87081 |
|
249 |
248 |
$2K |
| 88342 |
|
85 |
82 |
$2K |
| 88313 |
|
93 |
93 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
60 |
37 |
$2K |
| J2765 |
Metoclopramide hcl injection |
161 |
143 |
$2K |
| 87186 |
|
178 |
174 |
$2K |
| 76801 |
|
14 |
13 |
$2K |
| J2060 |
Lorazepam injection |
160 |
138 |
$2K |
| 74176 |
|
13 |
13 |
$2K |
| 82330 |
|
60 |
58 |
$2K |
| 80306 |
|
40 |
38 |
$2K |
| 73562 |
|
40 |
40 |
$1K |
| 80047 |
|
116 |
116 |
$1K |
| 96366 |
|
29 |
24 |
$1K |
| J2550 |
Promethazine hcl injection |
107 |
99 |
$1K |
| 84443 |
|
57 |
56 |
$1K |
| 73502 |
|
26 |
25 |
$1K |
| 73140 |
|
44 |
41 |
$1K |
| 76536 |
|
12 |
12 |
$848.30 |
| 0450 |
|
17 |
12 |
$728.98 |
| 85379 |
|
45 |
45 |
$698.34 |
| 86901 |
|
147 |
132 |
$678.73 |
| 99153 |
Mod sedat endo service >5yrs |
24 |
24 |
$652.51 |
| 72050 |
|
12 |
12 |
$643.80 |
| 86900 |
|
133 |
119 |
$607.38 |
| 84132 |
|
78 |
75 |
$513.27 |
| 82565 |
|
59 |
57 |
$480.74 |
| 74018 |
|
12 |
12 |
$475.68 |
| 29125 |
|
40 |
39 |
$461.37 |
| 84520 |
|
71 |
69 |
$422.27 |
| 84295 |
|
60 |
58 |
$371.37 |
| Z7610 |
|
62 |
38 |
$349.84 |
| 82248 |
|
41 |
41 |
$342.35 |
| 82435 |
|
58 |
56 |
$329.74 |
| 85014 |
|
74 |
70 |
$304.62 |
| 87491 |
|
14 |
14 |
$175.00 |
| 87591 |
|
14 |
14 |
$175.00 |
| 86850 |
|
41 |
37 |
$162.99 |
| 85730 |
|
12 |
12 |
$122.16 |
| 85027 |
|
12 |
12 |
$82.94 |
| 85007 |
|
12 |
12 |
$39.38 |