| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96360 |
|
7,179 |
967 |
$375K |
| 99213 |
|
15,321 |
1,783 |
$293K |
| 96361 |
|
17,288 |
1,801 |
$249K |
| 93000 |
|
13,437 |
1,856 |
$218K |
| 96375 |
|
18,616 |
1,853 |
$180K |
| 96374 |
|
17,037 |
1,796 |
$117K |
| 85018 |
|
12,312 |
1,669 |
$94K |
| 82962 |
|
13,998 |
1,830 |
$57K |
| 81002 |
|
9,222 |
1,210 |
$54K |
| 99214 |
|
3,728 |
668 |
$51K |
| 36415 |
|
803 |
257 |
$43K |
| J1170 |
Hydromorphone injection |
13,254 |
1,207 |
$43K |
| J1885 |
Ketorolac tromethamine inj |
8,840 |
1,187 |
$40K |
| 85048 |
|
10,753 |
1,300 |
$26K |
| 99215 |
Prolong outpt/office vis |
1,031 |
224 |
$24K |
| J0131 |
Inj, acetaminophen (nos) |
4,379 |
642 |
$18K |
| J2405 |
Ondansetron hcl injection |
13,438 |
1,581 |
$13K |
| 81025 |
|
9,766 |
1,268 |
$13K |
| J2270 |
Morphine sulfate injection |
1,233 |
212 |
$12K |
| 81003 |
|
8,643 |
1,004 |
$11K |
| 96376 |
|
1,303 |
102 |
$8K |
| 96365 |
|
609 |
131 |
$7K |
| J7070 |
D5w infusion |
2,586 |
560 |
$4K |
| 85027 |
|
3,269 |
480 |
$4K |
| 85025 |
|
2,782 |
394 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
16,445 |
1,785 |
$3K |
| J2175 |
Meperidine hydrochl /100 mg |
366 |
72 |
$3K |
| 82948 |
|
3,368 |
506 |
$3K |
| J7040 |
Normal saline solution infus |
10,198 |
1,129 |
$2K |
| 99212 |
|
120 |
90 |
$1K |
| J7060 |
5% dextrose/water |
2,040 |
325 |
$806.23 |
| 87635 |
|
21 |
18 |
$568.40 |
| 94010 |
|
52 |
31 |
$383.44 |
| 96127 |
|
439 |
140 |
$244.00 |
| 99491 |
Ccm add 20min |
157 |
123 |
$115.56 |
| J0895 |
Deferoxamine mesylate inj |
39 |
12 |
$70.27 |
| 36416 |
|
12,641 |
1,235 |
$50.90 |
| G2211 |
Complex e/m visit add on |
304 |
188 |
$50.20 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
226 |
71 |
$48.35 |
| A4301 |
Implantable access syst perc |
5,565 |
569 |
$13.48 |
| J7030 |
Normal saline solution infus |
73 |
14 |
$1.99 |
| 99072 |
|
15 |
12 |
$0.00 |
| G2064 |
Md mang high risk dx 30 |
26 |
15 |
$0.00 |