| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
42,274 |
37,011 |
$15.42M |
| 99284 |
|
27,806 |
25,009 |
$7.20M |
| 99283 |
|
17,687 |
16,337 |
$3.30M |
| 96374 |
|
12,229 |
10,803 |
$1.33M |
| 45385 |
|
1,532 |
1,383 |
$931K |
| 43239 |
|
2,399 |
2,131 |
$895K |
| 45380 |
|
884 |
809 |
$462K |
| 11042 |
|
1,818 |
1,014 |
$217K |
| G0463 |
Hospital outpt clinic visit |
3,106 |
1,857 |
$137K |
| 87635 |
|
4,778 |
4,260 |
$124K |
| 96361 |
|
3,370 |
2,751 |
$119K |
| 71045 |
|
2,302 |
2,003 |
$107K |
| 96375 |
|
2,433 |
2,049 |
$88K |
| 99282 |
|
687 |
633 |
$75K |
| 93306 |
|
195 |
179 |
$57K |
| G0399 |
Home sleep test/type 3 porta |
498 |
458 |
$53K |
| 71046 |
|
1,004 |
887 |
$43K |
| 85025 |
|
79,821 |
67,985 |
$22K |
| 95810 |
|
30 |
27 |
$21K |
| 80053 |
|
78,200 |
67,314 |
$17K |
| 90853 |
|
174 |
25 |
$17K |
| 93005 |
|
28,134 |
24,332 |
$16K |
| 74177 |
|
52 |
48 |
$11K |
| 45378 |
|
15 |
12 |
$6K |
| 36415 |
|
46,528 |
38,564 |
$6K |
| G0378 |
Hospital observation per hr |
434 |
341 |
$6K |
| 96365 |
|
40 |
36 |
$6K |
| 84484 |
|
9,247 |
5,016 |
$5K |
| 81001 |
|
9,789 |
8,583 |
$5K |
| 84703 |
|
1,864 |
1,721 |
$4K |
| 86900 |
|
44 |
37 |
$2K |
| 87502 |
|
176 |
159 |
$2K |
| 41899 |
|
14 |
12 |
$1K |
| 70450 |
|
17 |
12 |
$1K |
| 83690 |
|
5,235 |
4,704 |
$1K |
| 93017 |
|
20 |
16 |
$1K |
| G0398 |
Home sleep test/type 2 porta |
12 |
12 |
$946.56 |
| J1885 |
Ketorolac tromethamine inj |
1,453 |
1,071 |
$684.00 |
| J1170 |
Hydromorphone injection |
297 |
237 |
$527.00 |
| 93296 |
|
71 |
36 |
$514.89 |
| 87631 |
|
900 |
835 |
$199.68 |
| 96372 |
|
213 |
141 |
$117.12 |
| 80307 |
|
220 |
210 |
$55.45 |
| 83735 |
|
750 |
671 |
$9.38 |
| A9270 |
Non-covered item or service |
20 |
12 |
$7.05 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
984 |
741 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
393 |
342 |
$0.00 |
| 81003 |
|
25 |
24 |
$0.00 |
| J2270 |
Morphine sulfate injection |
29 |
27 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
13 |
12 |
$0.00 |
| 85610 |
|
61 |
49 |
$0.00 |
| 80305 |
|
19 |
14 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
762 |
704 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
612 |
528 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
743 |
687 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
85 |
80 |
$0.00 |
| 84443 |
|
279 |
260 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
493 |
457 |
$0.00 |
| 83880 |
|
30 |
28 |
$0.00 |
| 83605 |
|
172 |
138 |
$0.00 |
| 80048 |
|
22 |
12 |
$0.00 |
| 85027 |
|
13 |
13 |
$0.00 |
| 88305 |
|
128 |
105 |
$0.00 |
| 87086 |
|
41 |
37 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
79 |
65 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
12 |
12 |
$0.00 |
| 86901 |
|
44 |
37 |
$0.00 |
| 96376 |
|
14 |
12 |
$0.00 |
| 86850 |
|
44 |
37 |
$0.00 |
| Q0162 |
Ondansetron oral |
13 |
12 |
$0.00 |