| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
5,410 |
5,300 |
$1.93M |
| 99283 |
|
5,088 |
4,972 |
$1.22M |
| 99285 |
|
2,093 |
2,040 |
$1.01M |
| 96374 |
|
2,357 |
2,276 |
$423K |
| 0202U |
|
2,134 |
2,105 |
$413K |
| 96375 |
|
1,080 |
1,028 |
$63K |
| 71045 |
|
799 |
781 |
$52K |
| 71046 |
|
764 |
750 |
$51K |
| 87637 |
|
358 |
352 |
$51K |
| 74177 |
|
166 |
161 |
$48K |
| 99282 |
|
329 |
325 |
$46K |
| 93005 |
|
1,159 |
1,113 |
$32K |
| 80053 |
|
4,490 |
4,355 |
$28K |
| 96361 |
|
690 |
664 |
$26K |
| 85025 |
|
5,064 |
4,930 |
$23K |
| 84484 |
|
703 |
672 |
$6K |
| 83690 |
|
1,088 |
1,063 |
$4K |
| 83735 |
|
1,125 |
1,093 |
$4K |
| 70450 |
|
30 |
29 |
$3K |
| 96365 |
|
12 |
12 |
$2K |
| 36415 |
|
636 |
622 |
$2K |
| 81001 |
|
977 |
962 |
$2K |
| 84702 |
|
265 |
256 |
$1K |
| 96372 |
|
21 |
15 |
$1K |
| 83605 |
|
116 |
113 |
$671.57 |
| 80048 |
|
91 |
90 |
$456.59 |
| 80076 |
|
54 |
53 |
$273.81 |
| 81025 |
|
59 |
58 |
$180.04 |
| 81003 |
|
87 |
86 |
$118.24 |
| 84100 |
|
61 |
58 |
$92.04 |
| 85379 |
|
15 |
14 |
$68.25 |
| 85610 |
|
13 |
13 |
$29.07 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
747 |
711 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
1,248 |
1,110 |
$0.00 |
| J7120 |
Ringers lactate infusion |
605 |
562 |
$0.00 |
| J7030 |
Normal saline solution infus |
1,038 |
908 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
108 |
94 |
$0.00 |
| J2270 |
Morphine sulfate injection |
112 |
95 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
18 |
15 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
421 |
401 |
$0.00 |
| J1170 |
Hydromorphone injection |
331 |
238 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
1,106 |
1,023 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
57 |
54 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
352 |
315 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
302 |
261 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
153 |
146 |
$0.00 |
| J8540 |
Oral dexamethasone |
31 |
27 |
$0.00 |
| J3490 |
Drugs unclassified injection |
53 |
40 |
$0.00 |