| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
1,528 |
1,417 |
$267K |
| G0463 |
Hospital outpt clinic visit |
4,230 |
3,834 |
$231K |
| 99285 |
|
725 |
677 |
$191K |
| 99283 |
|
1,570 |
1,491 |
$171K |
| 96374 |
|
1,086 |
995 |
$98K |
| 74177 |
|
352 |
340 |
$40K |
| 71046 |
|
994 |
947 |
$28K |
| 97110 |
|
1,069 |
312 |
$26K |
| 99282 |
|
416 |
400 |
$26K |
| 96365 |
|
289 |
259 |
$23K |
| 96375 |
|
887 |
762 |
$19K |
| 96361 |
|
584 |
490 |
$17K |
| 87491 |
|
665 |
658 |
$17K |
| 87591 |
|
621 |
614 |
$15K |
| 70450 |
|
230 |
225 |
$12K |
| 96360 |
|
104 |
93 |
$10K |
| 80061 |
|
731 |
730 |
$9K |
| 77067 |
|
177 |
177 |
$8K |
| 80053 |
|
2,932 |
2,632 |
$7K |
| 86900 |
|
185 |
182 |
$7K |
| 84443 |
|
1,005 |
984 |
$7K |
| 74176 |
|
55 |
54 |
$6K |
| 36415 |
|
4,618 |
3,932 |
$5K |
| 97140 |
|
422 |
163 |
$5K |
| 85025 |
|
2,650 |
2,389 |
$4K |
| 76805 |
|
67 |
67 |
$4K |
| 76705 |
|
72 |
71 |
$4K |
| 76830 |
|
57 |
57 |
$3K |
| 76856 |
|
58 |
58 |
$3K |
| 82306 |
|
175 |
173 |
$3K |
| 88175 |
|
173 |
172 |
$3K |
| 87086 |
|
883 |
819 |
$2K |
| 80307 |
|
352 |
329 |
$2K |
| 94640 |
|
444 |
388 |
$2K |
| 83036 |
|
369 |
369 |
$2K |
| 85027 |
|
801 |
758 |
$2K |
| 96372 |
|
703 |
625 |
$2K |
| G0480 |
Drug test def 1-7 classes |
348 |
284 |
$1K |
| 87081 |
|
1,052 |
836 |
$1K |
| 88305 |
|
182 |
178 |
$1K |
| 86780 |
|
146 |
146 |
$1K |
| 80048 |
|
358 |
338 |
$1K |
| 87653 |
|
53 |
53 |
$1K |
| 73630 |
|
169 |
164 |
$1K |
| G0432 |
Eia hiv-1/hiv-2 screen |
113 |
113 |
$983.06 |
| 93005 |
|
618 |
560 |
$913.64 |
| 87077 |
|
331 |
321 |
$694.46 |
| 84439 |
|
150 |
146 |
$669.30 |
| 72100 |
|
29 |
28 |
$643.77 |
| 82947 |
|
219 |
146 |
$615.12 |
| 73130 |
|
127 |
121 |
$578.67 |
| 81001 |
|
1,702 |
1,559 |
$561.98 |
| 87186 |
|
255 |
249 |
$560.09 |
| 73562 |
|
81 |
77 |
$558.23 |
| 87624 |
|
26 |
25 |
$532.50 |
| 97162 |
|
13 |
12 |
$503.40 |
| 73610 |
|
104 |
101 |
$473.04 |
| 82728 |
|
57 |
57 |
$462.44 |
| 85610 |
|
419 |
328 |
$462.21 |
| 82607 |
|
48 |
48 |
$403.34 |
| 86140 |
|
585 |
552 |
$400.79 |
| 99281 |
|
12 |
12 |
$381.23 |
| 86703 |
|
61 |
61 |
$369.79 |
| 87205 |
|
300 |
288 |
$336.61 |
| 87661 |
|
26 |
25 |
$312.64 |
| 83880 |
|
74 |
68 |
$294.60 |
| 97161 |
|
15 |
14 |
$290.29 |
| 80305 |
|
142 |
136 |
$263.53 |
| 87804 |
|
446 |
262 |
$252.57 |
| 87880 |
|
724 |
709 |
$243.71 |
| 84702 |
|
42 |
27 |
$208.33 |
| 85007 |
|
289 |
263 |
$203.10 |
| 90471 |
|
29 |
28 |
$201.90 |
| 87340 |
|
62 |
62 |
$185.40 |
| 83735 |
|
109 |
91 |
$178.50 |
| 86762 |
|
37 |
37 |
$163.44 |
| 82570 |
|
58 |
57 |
$158.81 |
| G0123 |
Screen cerv/vag thin layer |
14 |
14 |
$153.15 |
| 83690 |
|
586 |
545 |
$147.21 |
| 85652 |
|
158 |
149 |
$141.13 |
| 87070 |
|
65 |
63 |
$130.35 |
| 82950 |
|
43 |
42 |
$125.61 |
| 87147 |
|
128 |
126 |
$118.86 |
| 85730 |
|
217 |
213 |
$93.09 |
| 73564 |
|
13 |
13 |
$81.56 |
| 81025 |
|
974 |
898 |
$79.06 |
| 82043 |
|
13 |
13 |
$47.55 |
| 86850 |
|
160 |
158 |
$46.37 |
| 84484 |
|
430 |
307 |
$19.05 |
| 81003 |
|
70 |
67 |
$18.69 |
| 87807 |
|
66 |
66 |
$15.06 |
| 81002 |
|
396 |
381 |
$14.15 |
| 87040 |
|
30 |
28 |
$12.97 |
| 83605 |
|
400 |
342 |
$6.71 |
| 85379 |
|
12 |
12 |
$6.39 |
| J1885 |
Ketorolac tromethamine inj |
845 |
754 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
395 |
321 |
$0.00 |
| J1170 |
Hydromorphone injection |
326 |
235 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
600 |
530 |
$0.00 |
| 96376 |
|
182 |
145 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
124 |
118 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
389 |
343 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
350 |
307 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
97 |
87 |
$0.00 |
| A9270 |
Non-covered item or service |
154 |
135 |
$0.00 |
| 86901 |
|
88 |
86 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
30 |
29 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
107 |
101 |
$0.00 |
| J7050 |
Normal saline solution infus |
148 |
69 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
211 |
175 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
410 |
393 |
$0.00 |
| J2930 |
Methylprednisolone injection |
308 |
269 |
$0.00 |
| 90715 |
|
44 |
43 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
987 |
846 |
$0.00 |
| J7120 |
Ringers lactate infusion |
465 |
362 |
$0.00 |
| J7030 |
Normal saline solution infus |
1,336 |
1,066 |
$0.00 |
| J7040 |
Normal saline solution infus |
32 |
27 |
$0.00 |
| J2270 |
Morphine sulfate injection |
124 |
101 |
$0.00 |
| J2550 |
Promethazine hcl injection |
16 |
13 |
$0.00 |
| 87502 |
|
14 |
14 |
$0.00 |
| 87420 |
|
12 |
12 |
$0.00 |