| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
30,546 |
21,537 |
$3.37M |
| J1568 |
Octagam injection |
263 |
152 |
$807K |
| 99233 |
Prolong inpt eval add15 m |
6,696 |
1,684 |
$771K |
| 80050 |
|
13,040 |
9,805 |
$363K |
| 96375 |
|
7,769 |
3,889 |
$171K |
| 99215 |
Prolong outpt/office vis |
1,293 |
1,069 |
$152K |
| 99205 |
Prolong outpt/office vis |
548 |
517 |
$143K |
| T1015 |
Clinic service |
472 |
373 |
$135K |
| 99245 |
|
576 |
547 |
$128K |
| 85025 |
|
17,510 |
12,647 |
$101K |
| 99203 |
|
893 |
864 |
$90K |
| 99213 |
|
1,322 |
1,200 |
$90K |
| 76000 |
|
1,712 |
1,500 |
$87K |
| 96413 |
|
730 |
419 |
$87K |
| 82977 |
|
13,741 |
10,262 |
$75K |
| 96409 |
|
1,026 |
513 |
$74K |
| 83735 |
|
13,683 |
10,221 |
$71K |
| 96365 |
|
1,324 |
805 |
$69K |
| 99223 |
Prolong inpt eval add15 m |
309 |
271 |
$68K |
| 83615 |
|
13,750 |
10,272 |
$64K |
| 84478 |
|
13,668 |
10,198 |
$58K |
| 82248 |
|
13,760 |
10,278 |
$53K |
| 99244 |
|
264 |
251 |
$53K |
| 99204 |
|
305 |
292 |
$53K |
| 84100 |
|
13,764 |
10,266 |
$50K |
| 84550 |
|
13,748 |
10,266 |
$48K |
| 82728 |
|
4,179 |
3,797 |
$46K |
| 82465 |
|
13,671 |
10,201 |
$44K |
| 85045 |
|
10,584 |
8,232 |
$33K |
| 96361 |
|
1,174 |
690 |
$29K |
| 96366 |
|
576 |
425 |
$20K |
| 83550 |
|
3,360 |
3,096 |
$20K |
| A4222 |
Infusion supplies with pump |
2,195 |
1,018 |
$18K |
| 82784 |
|
1,163 |
1,019 |
$17K |
| 83540 |
|
3,360 |
3,096 |
$16K |
| 99239 |
|
128 |
118 |
$15K |
| 99070 |
|
4,287 |
2,003 |
$8K |
| J1642 |
Inj heparin sodium per 10 u |
2,599 |
1,206 |
$8K |
| 25600 |
|
19 |
17 |
$7K |
| 36415 |
|
3,353 |
2,882 |
$5K |
| 97110 |
|
137 |
65 |
$4K |
| 80053 |
|
597 |
405 |
$4K |
| J9370 |
Vincristine sulfate 1 mg inj |
596 |
326 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
3,379 |
2,062 |
$3K |
| 96450 |
|
24 |
14 |
$3K |
| 97112 |
|
77 |
39 |
$2K |
| J7050 |
Normal saline solution infus |
2,344 |
1,150 |
$2K |
| J2405 |
Ondansetron hcl injection |
5,041 |
1,914 |
$2K |
| 97530 |
|
56 |
26 |
$1K |
| 99309 |
|
16 |
16 |
$1K |
| 96374 |
|
42 |
25 |
$1K |
| 86140 |
|
290 |
267 |
$1K |
| Q4012 |
Cast sup sht arm ped fbrglas |
18 |
14 |
$1K |
| J2916 |
Na ferric gluconate complex |
18 |
12 |
$651.19 |
| 84439 |
|
74 |
73 |
$525.84 |
| 85652 |
|
249 |
222 |
$519.67 |
| 90460 |
|
27 |
24 |
$488.72 |
| J7040 |
Normal saline solution infus |
93 |
69 |
$175.63 |
| J9260 |
Inj methotrexate sodium 50mg |
61 |
36 |
$134.70 |
| 81002 |
|
19 |
13 |
$30.70 |
| J2060 |
Lorazepam injection |
16 |
13 |
$13.56 |
| 99024 |
|
1,333 |
1,073 |
$0.00 |
| 36591 |
|
54 |
37 |
$0.00 |