| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
7,073 |
5,746 |
$1.41M |
| 99284 |
|
3,680 |
2,846 |
$897K |
| 96361 |
|
1,395 |
1,082 |
$893K |
| 99282 |
|
3,377 |
2,871 |
$866K |
| 74177 |
|
1,156 |
967 |
$502K |
| 70450 |
|
629 |
528 |
$224K |
| 99285 |
|
723 |
559 |
$189K |
| 96365 |
|
624 |
406 |
$178K |
| 96360 |
|
389 |
284 |
$144K |
| 99281 |
|
736 |
631 |
$141K |
| 80048 |
|
9,233 |
6,867 |
$89K |
| 83880 |
|
2,295 |
1,757 |
$49K |
| 85025 |
|
8,227 |
6,303 |
$45K |
| 87631 |
|
552 |
452 |
$44K |
| 84443 |
|
1,851 |
1,627 |
$33K |
| 80076 |
|
6,056 |
4,798 |
$32K |
| 87635 |
|
767 |
658 |
$29K |
| 94640 |
|
107 |
77 |
$27K |
| 84484 |
|
3,200 |
1,966 |
$19K |
| 93005 |
|
3,246 |
2,434 |
$17K |
| 71046 |
|
636 |
500 |
$16K |
| 80306 |
|
993 |
811 |
$14K |
| 80061 |
|
1,211 |
1,129 |
$13K |
| 83735 |
|
3,320 |
2,563 |
$12K |
| 83690 |
|
2,082 |
1,696 |
$10K |
| 81001 |
|
4,267 |
3,444 |
$10K |
| G0480 |
Drug test def 1-7 classes |
206 |
163 |
$10K |
| 87804 |
|
581 |
230 |
$9K |
| 82550 |
|
2,591 |
2,006 |
$9K |
| 87086 |
|
1,092 |
927 |
$9K |
| 71275 |
|
26 |
24 |
$9K |
| 83036 |
|
891 |
838 |
$7K |
| 0202U |
|
487 |
423 |
$7K |
| 85610 |
|
3,217 |
2,320 |
$7K |
| 87651 |
|
220 |
194 |
$7K |
| 82553 |
|
1,688 |
1,310 |
$6K |
| 96374 |
|
2,825 |
2,215 |
$5K |
| 86140 |
|
1,447 |
1,164 |
$5K |
| 97110 |
|
289 |
77 |
$5K |
| 82077 |
|
515 |
395 |
$5K |
| 74176 |
|
12 |
12 |
$4K |
| 82150 |
|
567 |
477 |
$3K |
| 71045 |
|
1,855 |
1,478 |
$3K |
| 85380 |
|
416 |
344 |
$2K |
| 36415 |
|
7,278 |
5,601 |
$2K |
| 87502 |
|
25 |
25 |
$2K |
| 99000 |
|
489 |
332 |
$2K |
| 72125 |
|
17 |
15 |
$2K |
| 81025 |
|
79 |
77 |
$2K |
| 83605 |
|
284 |
206 |
$2K |
| 87880 |
|
109 |
94 |
$2K |
| 85379 |
|
276 |
226 |
$1K |
| 87070 |
|
113 |
95 |
$1K |
| 96375 |
|
1,860 |
1,427 |
$923.54 |
| 87634 |
|
15 |
14 |
$912.19 |
| 84703 |
|
145 |
123 |
$859.58 |
| 87040 |
|
109 |
48 |
$410.04 |
| 87650 |
|
14 |
13 |
$309.08 |
| 93010 |
|
41 |
36 |
$231.99 |
| 36592 |
|
171 |
137 |
$163.34 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,934 |
1,584 |
$125.68 |
| 87088 |
|
36 |
27 |
$123.96 |
| 80143 |
|
18 |
12 |
$120.63 |
| 87186 |
|
18 |
13 |
$60.49 |
| J1885 |
Ketorolac tromethamine inj |
899 |
735 |
$35.01 |
| J2405 |
Ondansetron hcl injection |
1,087 |
847 |
$17.89 |
| A9270 |
Non-covered item or service |
143 |
87 |
$14.43 |
| J2930 |
Methylprednisolone injection |
66 |
51 |
$10.65 |
| J0696 |
Ceftriaxone sodium injection |
130 |
87 |
$6.20 |
| J7050 |
Normal saline solution infus |
504 |
261 |
$3.93 |
| G1010 |
Cdsm stanson |
412 |
314 |
$0.03 |
| G1004 |
Cdsm ndsc |
1,676 |
1,356 |
$0.01 |
| J1200 |
Diphenhydramine hcl injectio |
13 |
12 |
$0.00 |
| J7030 |
Normal saline solution infus |
14 |
13 |
$0.00 |
| 96372 |
|
16 |
13 |
$0.00 |
| 96376 |
|
17 |
12 |
$0.00 |