| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
37,908 |
34,066 |
$2.46M |
| 99283 |
|
48,265 |
44,607 |
$1.93M |
| G0463 |
Hospital outpt clinic visit |
31,966 |
24,960 |
$892K |
| 99282 |
|
13,353 |
12,541 |
$575K |
| 87502 |
|
7,948 |
7,514 |
$397K |
| 80053 |
|
27,961 |
24,775 |
$297K |
| 80307 |
|
6,587 |
4,667 |
$248K |
| 87635 |
|
5,671 |
5,340 |
$246K |
| 85025 |
|
24,071 |
19,942 |
$180K |
| 81001 |
|
33,667 |
30,087 |
$133K |
| 70450 |
|
1,382 |
1,287 |
$132K |
| 99285 |
|
483 |
392 |
$98K |
| 87880 |
|
5,472 |
5,225 |
$89K |
| 93005 |
|
8,742 |
7,611 |
$85K |
| 81025 |
|
24,590 |
22,267 |
$81K |
| 74022 |
|
3,723 |
3,410 |
$81K |
| 71046 |
|
5,934 |
5,443 |
$62K |
| 71045 |
|
12,441 |
11,058 |
$62K |
| 84484 |
|
7,216 |
5,888 |
$58K |
| 97110 |
|
2,511 |
649 |
$54K |
| 83690 |
|
7,842 |
7,059 |
$52K |
| 82150 |
|
7,082 |
6,348 |
$47K |
| 82553 |
|
3,903 |
3,266 |
$46K |
| 87636 |
|
364 |
359 |
$43K |
| 87070 |
|
2,726 |
2,623 |
$35K |
| 97112 |
|
1,642 |
473 |
$33K |
| 82550 |
|
4,568 |
3,923 |
$29K |
| 76816 |
|
1,001 |
945 |
$29K |
| 96372 |
|
7,473 |
6,081 |
$25K |
| 87807 |
|
2,026 |
1,914 |
$25K |
| 87086 |
|
2,174 |
1,974 |
$23K |
| 11042 |
|
232 |
108 |
$23K |
| 83735 |
|
3,684 |
3,196 |
$22K |
| 85610 |
|
5,566 |
4,786 |
$21K |
| 74177 |
|
130 |
117 |
$20K |
| 97140 |
|
1,004 |
273 |
$19K |
| 74176 |
|
239 |
213 |
$18K |
| 84443 |
|
1,286 |
1,120 |
$18K |
| 97161 |
|
373 |
323 |
$16K |
| 97010 |
|
1,473 |
445 |
$14K |
| 59025 |
|
3,371 |
2,152 |
$14K |
| 76805 |
|
525 |
502 |
$13K |
| 83880 |
|
517 |
448 |
$12K |
| 76811 |
|
139 |
136 |
$12K |
| J1885 |
Ketorolac tromethamine inj |
9,282 |
8,437 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
6,517 |
6,031 |
$11K |
| 85730 |
|
5,497 |
4,727 |
$10K |
| 76830 |
|
507 |
445 |
$10K |
| 72125 |
|
93 |
86 |
$10K |
| 84702 |
|
769 |
687 |
$9K |
| 76801 |
|
403 |
379 |
$9K |
| 86850 |
|
1,284 |
1,163 |
$7K |
| 82607 |
|
558 |
469 |
$7K |
| 81002 |
|
1,995 |
1,631 |
$6K |
| 90715 |
|
223 |
216 |
$6K |
| 43239 |
|
54 |
39 |
$6K |
| 82746 |
|
543 |
460 |
$5K |
| 97014 |
|
586 |
197 |
$5K |
| 87801 |
|
189 |
181 |
$5K |
| 86900 |
|
1,491 |
1,163 |
$5K |
| 86901 |
|
1,491 |
1,163 |
$5K |
| 76815 |
|
163 |
146 |
$4K |
| 94640 |
|
230 |
216 |
$3K |
| G0378 |
Hospital observation per hr |
83 |
42 |
$3K |
| 80048 |
|
317 |
281 |
$3K |
| J1100 |
Dexamethasone sodium phos |
2,272 |
2,096 |
$2K |
| 36415 |
|
2,037 |
1,592 |
$2K |
| 86592 |
|
453 |
374 |
$2K |
| 80047 |
|
520 |
454 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
310 |
277 |
$2K |
| 87400 |
|
139 |
138 |
$2K |
| 80076 |
|
332 |
294 |
$2K |
| 85018 |
|
993 |
852 |
$2K |
| 93041 |
|
670 |
564 |
$1K |
| 99281 |
|
45 |
38 |
$1K |
| J2405 |
Ondansetron hcl injection |
3,612 |
3,220 |
$1K |
| 96374 |
|
5,769 |
5,175 |
$1K |
| 74018 |
|
132 |
119 |
$1K |
| 51728 |
|
14 |
12 |
$1K |
| 96365 |
|
529 |
491 |
$907.62 |
| 72110 |
|
46 |
37 |
$830.50 |
| 90686 |
|
37 |
37 |
$666.05 |
| 83036 |
|
143 |
118 |
$659.90 |
| 96375 |
|
2,667 |
2,362 |
$584.96 |
| 87210 |
|
81 |
78 |
$498.14 |
| 76818 |
|
26 |
12 |
$485.37 |
| 82009 |
|
358 |
278 |
$483.36 |
| 73564 |
|
26 |
24 |
$413.60 |
| 93922 |
|
42 |
27 |
$404.48 |
| 96361 |
|
1,689 |
1,546 |
$323.43 |
| 85014 |
|
541 |
471 |
$245.25 |
| 73610 |
|
12 |
12 |
$200.10 |
| 85379 |
|
16 |
13 |
$145.99 |
| 87040 |
|
30 |
12 |
$141.54 |
| 87088 |
|
17 |
14 |
$131.12 |
| 87186 |
|
17 |
14 |
$121.32 |
| 82728 |
|
14 |
13 |
$112.10 |
| 85027 |
|
28 |
25 |
$102.03 |
| J2270 |
Morphine sulfate injection |
36 |
36 |
$97.41 |
| 51797 |
|
13 |
12 |
$94.36 |
| 85007 |
|
27 |
24 |
$91.26 |
| 51784 |
|
14 |
13 |
$89.84 |
| J1050 |
Medroxyprogesterone acetate |
2,195 |
1,863 |
$84.00 |
| 86140 |
|
15 |
13 |
$19.98 |
| 82962 |
|
689 |
482 |
$3.26 |
| J7050 |
Normal saline solution infus |
414 |
372 |
$2.80 |
| J2001 |
Lidocaine injection |
149 |
132 |
$0.00 |
| 99243 |
|
125 |
103 |
$0.00 |
| 90471 |
|
261 |
247 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
685 |
631 |
$0.00 |
| 96360 |
|
37 |
37 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
84 |
80 |
$0.00 |