| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
64,998 |
59,322 |
$16.60M |
| 99283 |
|
88,223 |
81,943 |
$11.90M |
| 99284 |
|
38,800 |
35,642 |
$8.75M |
| 87635 |
|
23,205 |
20,556 |
$1.29M |
| 71045 |
|
34,441 |
31,295 |
$1.12M |
| 41899 |
|
953 |
867 |
$1.02M |
| 96374 |
|
26,208 |
23,864 |
$743K |
| 80053 |
|
73,427 |
65,900 |
$711K |
| 87400 |
|
46,796 |
21,602 |
$656K |
| 85025 |
|
81,201 |
72,912 |
$605K |
| 93005 |
|
25,443 |
22,612 |
$585K |
| 96361 |
|
20,125 |
12,153 |
$426K |
| 59025 |
|
7,186 |
6,192 |
$382K |
| J3490 |
Drugs unclassified injection |
59,418 |
34,818 |
$363K |
| 96375 |
|
14,299 |
8,486 |
$360K |
| 80307 |
|
4,066 |
3,576 |
$285K |
| 74177 |
|
367 |
324 |
$254K |
| 87430 |
|
15,055 |
14,084 |
$240K |
| 11042 |
|
3,252 |
2,382 |
$220K |
| 99213 |
|
8,997 |
8,662 |
$211K |
| 84703 |
|
16,735 |
14,958 |
$199K |
| 81001 |
|
55,022 |
50,226 |
$185K |
| 87070 |
|
13,295 |
12,508 |
$160K |
| 96413 |
|
1,247 |
664 |
$126K |
| 84484 |
|
14,804 |
8,789 |
$118K |
| J7120 |
Ringers lactate infusion |
7,792 |
6,852 |
$116K |
| 70450 |
|
614 |
534 |
$115K |
| 87426 |
|
2,496 |
2,359 |
$112K |
| 95810 |
|
259 |
257 |
$92K |
| J7030 |
Normal saline solution infus |
5,400 |
4,785 |
$87K |
| 99281 |
|
2,566 |
2,484 |
$85K |
| 96372 |
|
4,385 |
3,282 |
$81K |
| 83690 |
|
10,768 |
9,887 |
$80K |
| 87086 |
|
7,646 |
6,977 |
$72K |
| G0480 |
Drug test def 1-7 classes |
2,606 |
2,224 |
$68K |
| 71046 |
|
2,025 |
1,982 |
$65K |
| J1885 |
Ketorolac tromethamine inj |
7,568 |
6,870 |
$64K |
| J7050 |
Normal saline solution infus |
4,465 |
1,203 |
$55K |
| 95811 |
|
115 |
115 |
$48K |
| 88305 |
|
655 |
498 |
$39K |
| J2405 |
Ondansetron hcl injection |
5,585 |
4,983 |
$36K |
| 80048 |
|
2,373 |
2,177 |
$36K |
| 83605 |
|
3,248 |
2,611 |
$35K |
| 99214 |
|
926 |
865 |
$31K |
| 81025 |
|
3,042 |
2,848 |
$29K |
| 87420 |
|
1,504 |
1,380 |
$28K |
| 87536 |
|
467 |
448 |
$27K |
| A9270 |
Non-covered item or service |
65,384 |
34,003 |
$26K |
| 87077 |
|
2,497 |
2,052 |
$25K |
| 84443 |
|
1,264 |
1,243 |
$23K |
| 96360 |
|
295 |
267 |
$18K |
| 0002A |
|
336 |
331 |
$15K |
| J2704 |
Inj, propofol, 10 mg |
1,602 |
1,192 |
$15K |
| 96367 |
|
175 |
103 |
$15K |
| 0001A |
|
373 |
369 |
$14K |
| 36415 |
|
5,725 |
5,268 |
$14K |
| G0378 |
Hospital observation per hr |
67 |
61 |
$13K |
| 87591 |
|
439 |
402 |
$12K |
| 87491 |
|
439 |
402 |
$12K |
| 11045 |
|
30 |
24 |
$11K |
| 86361 |
|
316 |
304 |
$11K |
| 83735 |
|
1,576 |
1,311 |
$10K |
| 74176 |
|
14 |
13 |
$9K |
| 80061 |
|
625 |
617 |
$9K |
| J3010 |
Fentanyl citrate injection |
1,081 |
971 |
$9K |
| J1100 |
Dexamethasone sodium phos |
984 |
853 |
$8K |
| 72114 |
|
161 |
153 |
$8K |
| 83036 |
|
701 |
696 |
$8K |
| 77336 |
|
65 |
25 |
$6K |
| 96365 |
|
80 |
64 |
$6K |
| 85027 |
|
747 |
678 |
$5K |
| 43239 |
|
25 |
25 |
$5K |
| 94640 |
|
163 |
146 |
$4K |
| 72052 |
|
38 |
38 |
$3K |
| 97110 |
|
169 |
48 |
$3K |
| 72110 |
|
114 |
113 |
$3K |
| 99212 |
|
199 |
196 |
$3K |
| 74018 |
|
89 |
88 |
$3K |
| 83880 |
|
97 |
92 |
$3K |
| 85730 |
|
573 |
522 |
$3K |
| 80076 |
|
335 |
322 |
$3K |
| J0690 |
Cefazolin sodium injection |
49 |
39 |
$2K |
| 85610 |
|
643 |
589 |
$2K |
| 87389 |
|
73 |
71 |
$2K |
| J2270 |
Morphine sulfate injection |
207 |
190 |
$2K |
| 86780 |
|
108 |
104 |
$2K |
| 94726 |
|
15 |
13 |
$2K |
| 76001 |
|
13 |
13 |
$1K |
| 87631 |
|
15 |
12 |
$1K |
| J1642 |
Inj heparin sodium per 10 u |
764 |
342 |
$1K |
| 87641 |
|
77 |
75 |
$1K |
| 86850 |
|
117 |
114 |
$1K |
| 82565 |
|
209 |
209 |
$1K |
| 94729 |
|
13 |
12 |
$756.21 |
| J2001 |
Lidocaine injection |
94 |
82 |
$580.69 |
| J2250 |
Inj midazolam hydrochloride |
56 |
50 |
$467.68 |
| 87486 |
|
15 |
12 |
$448.23 |
| 87581 |
|
15 |
12 |
$448.23 |
| J0696 |
Ceftriaxone sodium injection |
52 |
51 |
$400.41 |
| 72020 |
|
13 |
13 |
$400.30 |
| 84439 |
|
52 |
49 |
$396.07 |
| J1040 |
Methylprednisolone 80 mg inj |
92 |
87 |
$324.80 |
| 82805 |
|
14 |
13 |
$318.24 |
| 82306 |
|
14 |
14 |
$290.48 |
| 84702 |
|
25 |
24 |
$289.44 |
| 82533 |
|
13 |
13 |
$243.84 |
| 87040 |
|
84 |
41 |
$239.16 |
| J2765 |
Metoclopramide hcl injection |
28 |
28 |
$237.91 |
| 86901 |
|
100 |
98 |
$231.22 |
| 86900 |
|
100 |
98 |
$230.02 |
| 86762 |
|
13 |
12 |
$209.76 |
| 86787 |
|
13 |
12 |
$188.00 |
| J1170 |
Hydromorphone injection |
44 |
24 |
$187.19 |
| 87210 |
|
47 |
39 |
$186.05 |
| 86200 |
|
13 |
13 |
$177.43 |
| J0330 |
Succinycholine chloride inj |
13 |
13 |
$174.22 |
| 87340 |
|
13 |
12 |
$135.79 |
| J0131 |
Inj, acetaminophen (nos) |
34 |
24 |
$134.77 |
| 82800 |
|
15 |
13 |
$83.24 |
| 86592 |
|
14 |
13 |
$58.41 |
| J8540 |
Oral dexamethasone |
15 |
12 |
$27.84 |
| J7512 |
Prednisone ir or dr oral 1mg |
17 |
12 |
$18.74 |
| J7620 |
Albuterol ipratrop non-comp |
110 |
107 |
$3.32 |
| J7999 |
Compounded drug, noc |
13 |
13 |
$0.00 |