| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
12,061 |
11,891 |
$1.91M |
| 99284 |
|
6,951 |
6,798 |
$1.59M |
| 99285 |
|
3,836 |
3,744 |
$1.10M |
| 96374 |
|
2,004 |
1,958 |
$232K |
| 87635 |
|
3,274 |
3,225 |
$158K |
| 96372 |
|
2,485 |
2,404 |
$130K |
| 99282 |
|
880 |
870 |
$82K |
| 87804 |
|
5,397 |
2,771 |
$77K |
| 80053 |
|
6,765 |
6,535 |
$64K |
| 96365 |
|
682 |
657 |
$59K |
| 85025 |
|
7,118 |
6,878 |
$49K |
| 96375 |
|
1,284 |
1,239 |
$47K |
| 36415 |
|
8,059 |
7,557 |
$41K |
| 71045 |
|
3,255 |
3,187 |
$37K |
| 70450 |
|
577 |
571 |
$34K |
| 93005 |
|
3,271 |
3,147 |
$20K |
| 74176 |
|
177 |
176 |
$15K |
| 97530 |
|
176 |
62 |
$14K |
| 87430 |
|
942 |
938 |
$13K |
| 96361 |
|
433 |
416 |
$13K |
| 81001 |
|
4,350 |
4,145 |
$12K |
| G0480 |
Drug test def 1-7 classes |
125 |
121 |
$11K |
| 86756 |
|
697 |
693 |
$10K |
| 74178 |
|
48 |
48 |
$9K |
| 71046 |
|
539 |
533 |
$8K |
| 80305 |
|
704 |
608 |
$7K |
| 76805 |
|
67 |
66 |
$6K |
| 84484 |
|
504 |
448 |
$6K |
| 87426 |
|
111 |
109 |
$5K |
| 83880 |
|
149 |
147 |
$5K |
| 96360 |
|
28 |
27 |
$4K |
| 84443 |
|
162 |
159 |
$2K |
| 87086 |
|
302 |
296 |
$2K |
| 94640 |
|
128 |
120 |
$2K |
| 83605 |
|
162 |
155 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
328 |
317 |
$1K |
| 82550 |
|
236 |
219 |
$1K |
| G0463 |
Hospital outpt clinic visit |
19 |
16 |
$999.84 |
| 82553 |
|
83 |
72 |
$952.50 |
| 72125 |
|
13 |
13 |
$911.28 |
| 84703 |
|
105 |
104 |
$726.07 |
| 76813 |
|
14 |
14 |
$723.80 |
| 83735 |
|
111 |
108 |
$653.93 |
| 81025 |
|
86 |
86 |
$562.90 |
| J2405 |
Ondansetron hcl injection |
81 |
77 |
$450.75 |
| 83690 |
|
58 |
58 |
$348.03 |
| 86850 |
|
15 |
15 |
$338.91 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
51 |
51 |
$320.25 |
| 87389 |
|
13 |
13 |
$278.46 |
| 82306 |
|
12 |
12 |
$259.30 |
| 85610 |
|
67 |
65 |
$250.26 |
| 83036 |
|
29 |
29 |
$224.64 |
| 86696 |
|
14 |
14 |
$223.73 |
| J0780 |
Prochlorperazine injection |
104 |
103 |
$195.36 |
| 87040 |
|
18 |
15 |
$194.40 |
| J1100 |
Dexamethasone sodium phos |
101 |
100 |
$189.55 |
| 86762 |
|
14 |
14 |
$166.40 |
| 86695 |
|
14 |
14 |
$164.22 |
| J1885 |
Ketorolac tromethamine inj |
169 |
167 |
$158.03 |
| 85730 |
|
28 |
27 |
$153.57 |
| 85027 |
|
25 |
25 |
$145.92 |
| 82728 |
|
14 |
14 |
$145.44 |
| 87186 |
|
14 |
14 |
$130.73 |
| 83550 |
|
14 |
14 |
$108.78 |
| 87077 |
|
13 |
13 |
$107.85 |
| J2360 |
Orphenadrine injection |
28 |
28 |
$94.63 |
| J3475 |
Inj magnesium sulfate |
12 |
12 |
$88.80 |
| 83540 |
|
14 |
14 |
$80.50 |
| 82247 |
|
17 |
12 |
$75.99 |
| 84100 |
|
14 |
13 |
$59.22 |
| 86592 |
|
14 |
14 |
$53.20 |
| 86901 |
|
16 |
16 |
$39.90 |
| 86900 |
|
16 |
16 |
$37.24 |
| 85007 |
|
12 |
12 |
$35.64 |
| J1170 |
Hydromorphone injection |
14 |
13 |
$8.32 |
| J7510 |
Prednisolone oral per 5 mg |
70 |
65 |
$1.20 |