| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
|
1,354 |
1,265 |
$278K |
| 99284 |
|
15,085 |
9,459 |
$221K |
| 99283 |
|
17,076 |
10,795 |
$126K |
| 99285 |
|
3,885 |
2,768 |
$121K |
| 70450 |
|
1,541 |
1,413 |
$118K |
| 71046 |
|
3,695 |
3,365 |
$54K |
| 97110 |
|
10,820 |
3,092 |
$48K |
| 93005 |
|
4,818 |
4,131 |
$37K |
| 80053 |
|
13,078 |
10,953 |
$25K |
| 74176 |
|
183 |
175 |
$19K |
| 85025 |
|
15,146 |
12,127 |
$18K |
| 71045 |
|
1,525 |
1,360 |
$18K |
| 93306 |
|
165 |
154 |
$17K |
| 99282 |
|
5,330 |
4,104 |
$15K |
| 76705 |
|
338 |
329 |
$10K |
| 80048 |
|
3,739 |
3,002 |
$9K |
| 99214 |
|
1,386 |
921 |
$8K |
| 71250 |
|
71 |
63 |
$8K |
| 99213 |
|
970 |
521 |
$7K |
| 84443 |
|
2,952 |
2,808 |
$7K |
| 84484 |
|
3,896 |
3,093 |
$6K |
| 88305 |
|
256 |
234 |
$5K |
| 93307 |
|
32 |
31 |
$4K |
| 73030 |
|
180 |
161 |
$4K |
| 97140 |
|
1,323 |
436 |
$4K |
| 83036 |
|
2,097 |
2,020 |
$4K |
| 97162 |
|
532 |
497 |
$4K |
| 80307 |
|
692 |
640 |
$4K |
| 36415 |
|
8,949 |
6,423 |
$4K |
| 96374 |
|
290 |
236 |
$3K |
| 72100 |
|
110 |
99 |
$3K |
| 90832 |
|
812 |
472 |
$3K |
| J7040 |
Normal saline solution infus |
926 |
694 |
$3K |
| 87631 |
|
1,746 |
1,632 |
$3K |
| 87086 |
|
2,224 |
1,972 |
$3K |
| J7030 |
Normal saline solution infus |
1,111 |
826 |
$2K |
| 96365 |
|
107 |
77 |
$2K |
| 83735 |
|
3,648 |
3,083 |
$2K |
| 85610 |
|
2,977 |
1,720 |
$2K |
| 99204 |
|
118 |
60 |
$2K |
| 81001 |
|
3,478 |
3,063 |
$2K |
| 93010 |
|
4,318 |
3,736 |
$2K |
| 72148 |
|
13 |
12 |
$2K |
| 96375 |
|
185 |
146 |
$2K |
| 99281 |
|
555 |
484 |
$2K |
| 71271 |
|
26 |
24 |
$2K |
| 99203 |
|
256 |
137 |
$2K |
| 83880 |
|
387 |
327 |
$2K |
| 83690 |
|
2,388 |
2,111 |
$1K |
| 73630 |
|
143 |
131 |
$1K |
| 73564 |
|
93 |
79 |
$1K |
| 83605 |
|
1,442 |
1,168 |
$1K |
| 85027 |
|
4,252 |
3,326 |
$1K |
| 80061 |
|
2,086 |
2,006 |
$1K |
| 92507 |
|
508 |
234 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
525 |
383 |
$1K |
| 81003 |
|
2,157 |
1,998 |
$964.41 |
| 82948 |
|
1,840 |
1,086 |
$961.23 |
| 86140 |
|
1,779 |
1,545 |
$865.06 |
| 97161 |
|
77 |
74 |
$845.34 |
| 87186 |
|
928 |
835 |
$831.74 |
| 82043 |
|
245 |
226 |
$797.13 |
| 73610 |
|
91 |
83 |
$722.31 |
| 87636 |
|
459 |
406 |
$701.76 |
| 84439 |
|
433 |
409 |
$695.73 |
| 87635 |
|
1,995 |
1,856 |
$670.39 |
| 76830 |
|
29 |
29 |
$654.76 |
| 85379 |
|
582 |
546 |
$637.84 |
| 96361 |
|
49 |
37 |
$611.33 |
| 99212 |
|
143 |
80 |
$563.86 |
| Q3014 |
Telehealth facility fee |
497 |
278 |
$514.33 |
| 82306 |
|
342 |
330 |
$500.14 |
| 77067 |
|
894 |
865 |
$469.48 |
| 85004 |
|
120 |
114 |
$465.89 |
| 87040 |
|
313 |
286 |
$451.89 |
| 82728 |
|
350 |
328 |
$449.92 |
| 87804 |
|
734 |
706 |
$449.67 |
| J2405 |
Ondansetron hcl injection |
1,563 |
1,302 |
$419.55 |
| J1885 |
Ketorolac tromethamine inj |
1,287 |
1,137 |
$375.01 |
| 85730 |
|
201 |
176 |
$373.03 |
| J7120 |
Ringers lactate infusion |
405 |
346 |
$361.87 |
| 90791 |
|
99 |
96 |
$338.25 |
| 73502 |
|
16 |
13 |
$317.01 |
| 82607 |
|
118 |
108 |
$307.12 |
| G0480 |
Drug test def 1-7 classes |
204 |
200 |
$300.05 |
| 84100 |
|
261 |
223 |
$238.39 |
| 83540 |
|
217 |
202 |
$222.12 |
| 83550 |
|
171 |
159 |
$206.07 |
| J0696 |
Ceftriaxone sodium injection |
244 |
196 |
$192.46 |
| 85651 |
|
212 |
187 |
$175.33 |
| 87880 |
|
826 |
801 |
$164.37 |
| 90792 |
|
12 |
12 |
$135.55 |
| 99217 |
|
27 |
25 |
$119.40 |
| 90715 |
|
12 |
12 |
$119.38 |
| 97530 |
|
160 |
55 |
$116.02 |
| J2060 |
Lorazepam injection |
84 |
68 |
$107.21 |
| J2919 |
Inj, methylpred sod succ 5mg |
65 |
53 |
$106.74 |
| 73110 |
|
31 |
28 |
$92.65 |
| 87077 |
|
68 |
61 |
$63.33 |
| 80305 |
|
184 |
172 |
$61.42 |
| J1100 |
Dexamethasone sodium phos |
27 |
27 |
$53.22 |
| G0481 |
Drug test def 8-14 classes |
43 |
39 |
$51.70 |
| J3010 |
Fentanyl citrate injection |
37 |
29 |
$41.10 |
| 87081 |
|
365 |
357 |
$33.51 |
| 87088 |
|
76 |
71 |
$31.83 |
| 96372 |
|
17 |
14 |
$27.63 |
| J2270 |
Morphine sulfate injection |
34 |
25 |
$27.59 |
| J0131 |
Inj, acetaminophen (nos) |
14 |
14 |
$21.40 |
| 90471 |
|
12 |
12 |
$18.72 |
| J2930 |
Methylprednisolone injection |
18 |
14 |
$15.04 |
| 81025 |
|
302 |
289 |
$5.78 |
| 82570 |
|
31 |
29 |
$4.02 |
| J2250 |
Inj midazolam hydrochloride |
27 |
26 |
$2.01 |
| 85008 |
|
61 |
56 |
$1.71 |
| 77063 |
|
105 |
100 |
$0.31 |
| G8979 |
Mobility goal status |
46 |
42 |
$0.06 |
| 90837 |
|
39 |
34 |
$0.00 |
| G8978 |
Mobility current status |
13 |
13 |
$0.00 |