| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
2,629 |
2,275 |
$856K |
| 99283 |
|
2,646 |
2,345 |
$631K |
| 99285 |
|
895 |
783 |
$215K |
| 96374 |
|
818 |
701 |
$86K |
| 74177 |
|
181 |
148 |
$63K |
| 71045 |
|
1,047 |
840 |
$48K |
| 80307 |
|
362 |
273 |
$44K |
| 70450 |
|
353 |
317 |
$40K |
| 80053 |
|
2,791 |
2,138 |
$37K |
| 87635 |
|
785 |
693 |
$35K |
| 74176 |
|
132 |
121 |
$28K |
| 96375 |
|
712 |
532 |
$22K |
| 93005 |
|
944 |
807 |
$22K |
| 59025 |
|
125 |
78 |
$22K |
| 81001 |
|
1,703 |
1,287 |
$21K |
| 96365 |
|
277 |
210 |
$20K |
| 85025 |
|
3,404 |
2,540 |
$19K |
| 96372 |
|
560 |
415 |
$18K |
| 87636 |
|
171 |
153 |
$15K |
| 87631 |
|
750 |
660 |
$15K |
| 36415 |
|
4,025 |
2,912 |
$11K |
| 97110 |
|
366 |
99 |
$10K |
| 96361 |
|
245 |
195 |
$9K |
| 87389 |
|
236 |
177 |
$9K |
| 99282 |
|
60 |
57 |
$8K |
| 87086 |
|
1,367 |
1,076 |
$8K |
| 94640 |
|
133 |
89 |
$8K |
| 20610 |
|
427 |
204 |
$7K |
| 71046 |
|
143 |
128 |
$6K |
| 87651 |
|
160 |
147 |
$6K |
| G0378 |
Hospital observation per hr |
92 |
38 |
$5K |
| 66984 |
|
12 |
12 |
$5K |
| 80306 |
|
304 |
220 |
$4K |
| 80048 |
|
712 |
519 |
$4K |
| 99213 |
|
575 |
306 |
$3K |
| 86850 |
|
490 |
377 |
$3K |
| 87633 |
|
42 |
32 |
$3K |
| 99214 |
|
683 |
345 |
$3K |
| 87491 |
|
94 |
69 |
$3K |
| J1097 |
Phenylep ketorolac opth soln |
14 |
14 |
$2K |
| V2632 |
Post chmbr intraocular lens |
14 |
14 |
$2K |
| G0480 |
Drug test def 1-7 classes |
32 |
25 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
230 |
199 |
$2K |
| 86592 |
|
289 |
210 |
$2K |
| 86901 |
|
226 |
176 |
$2K |
| 86900 |
|
226 |
176 |
$2K |
| 80061 |
|
354 |
335 |
$2K |
| 81000 |
|
647 |
539 |
$2K |
| 87591 |
|
94 |
69 |
$2K |
| 93041 |
|
86 |
73 |
$2K |
| 84484 |
|
686 |
566 |
$2K |
| 82947 |
|
358 |
245 |
$2K |
| 84443 |
|
747 |
663 |
$2K |
| 87653 |
|
50 |
38 |
$1K |
| 83880 |
|
374 |
289 |
$1K |
| J7030 |
Normal saline solution infus |
156 |
125 |
$1K |
| 81025 |
|
156 |
143 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
321 |
211 |
$1K |
| 83036 |
|
218 |
207 |
$1K |
| 99204 |
|
128 |
86 |
$1K |
| 82306 |
|
254 |
240 |
$1K |
| 83735 |
|
594 |
450 |
$1K |
| 83690 |
|
313 |
271 |
$1K |
| 85730 |
|
274 |
249 |
$938.15 |
| 85027 |
|
487 |
377 |
$926.22 |
| 85610 |
|
316 |
287 |
$831.14 |
| 83605 |
|
287 |
243 |
$688.55 |
| 99307 |
|
62 |
49 |
$676.77 |
| 94760 |
|
34 |
12 |
$520.69 |
| 87186 |
|
112 |
101 |
$510.21 |
| 80050 |
|
13 |
12 |
$506.43 |
| 96376 |
|
86 |
56 |
$505.59 |
| 85007 |
|
409 |
314 |
$417.80 |
| 84439 |
|
105 |
81 |
$402.58 |
| 87205 |
|
41 |
31 |
$299.93 |
| 87040 |
|
105 |
85 |
$298.25 |
| 82950 |
|
64 |
48 |
$260.69 |
| 86803 |
|
35 |
27 |
$209.73 |
| 83540 |
|
46 |
42 |
$174.39 |
| J2704 |
Inj, propofol, 10 mg |
52 |
43 |
$164.54 |
| 84466 |
|
31 |
29 |
$156.49 |
| J0696 |
Ceftriaxone sodium injection |
284 |
199 |
$145.47 |
| J1885 |
Ketorolac tromethamine inj |
294 |
256 |
$131.40 |
| 99211 |
|
52 |
41 |
$119.67 |
| 87340 |
|
18 |
15 |
$109.41 |
| J2405 |
Ondansetron hcl injection |
427 |
350 |
$84.28 |
| 86762 |
|
17 |
14 |
$83.63 |
| J3010 |
Fentanyl citrate injection |
290 |
257 |
$77.32 |
| 87088 |
|
14 |
13 |
$68.94 |
| 87077 |
|
14 |
14 |
$58.42 |
| J2250 |
Inj midazolam hydrochloride |
211 |
193 |
$56.12 |
| G0475 |
Hiv combination assay |
12 |
12 |
$54.06 |
| J1100 |
Dexamethasone sodium phos |
78 |
68 |
$44.13 |
| 82248 |
|
13 |
13 |
$43.28 |
| J7120 |
Ringers lactate infusion |
33 |
26 |
$42.01 |
| 99203 |
|
28 |
15 |
$30.73 |
| 82962 |
|
23 |
12 |
$21.50 |
| 85018 |
|
24 |
12 |
$20.83 |
| Q0162 |
Ondansetron oral |
12 |
12 |
$4.50 |
| J2272 |
Inj, morphine (fresenius) |
15 |
12 |
$3.11 |