| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
16,829 |
15,185 |
$955K |
| 99284 |
|
6,213 |
5,555 |
$606K |
| 87633 |
|
548 |
487 |
$232K |
| 99282 |
|
2,335 |
2,187 |
$90K |
| 87502 |
|
916 |
691 |
$63K |
| 99285 |
|
646 |
552 |
$60K |
| 80053 |
|
5,975 |
5,227 |
$52K |
| 85025 |
|
7,885 |
6,819 |
$51K |
| 93005 |
|
1,520 |
1,309 |
$32K |
| 80307 |
|
775 |
489 |
$22K |
| 87651 |
|
631 |
528 |
$20K |
| 87631 |
|
128 |
114 |
$17K |
| 81001 |
|
5,925 |
5,215 |
$17K |
| 36415 |
|
6,748 |
5,908 |
$14K |
| 80061 |
|
1,005 |
923 |
$13K |
| 71045 |
|
777 |
674 |
$13K |
| 84443 |
|
642 |
593 |
$11K |
| 87491 |
|
299 |
270 |
$11K |
| 87591 |
|
299 |
270 |
$11K |
| 77067 |
|
218 |
215 |
$10K |
| 71046 |
|
263 |
226 |
$8K |
| 94640 |
|
602 |
452 |
$8K |
| 87086 |
|
722 |
652 |
$6K |
| 84439 |
|
512 |
466 |
$5K |
| 87880 |
|
348 |
323 |
$5K |
| 74176 |
|
14 |
14 |
$4K |
| 81025 |
|
621 |
574 |
$4K |
| 84484 |
|
600 |
520 |
$4K |
| 83036 |
|
359 |
333 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
1,740 |
1,573 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,616 |
1,415 |
$3K |
| 74018 |
|
47 |
38 |
$2K |
| 83690 |
|
322 |
286 |
$2K |
| 70450 |
|
16 |
14 |
$2K |
| 96361 |
|
533 |
398 |
$2K |
| 87081 |
|
180 |
167 |
$1K |
| J7030 |
Normal saline solution infus |
407 |
346 |
$1K |
| 43239 |
|
19 |
12 |
$1K |
| 80048 |
|
174 |
156 |
$1K |
| 82553 |
|
124 |
117 |
$986.08 |
| 87389 |
|
32 |
32 |
$897.05 |
| 83525 |
|
62 |
62 |
$811.21 |
| 82550 |
|
150 |
142 |
$706.51 |
| 73562 |
|
49 |
37 |
$653.37 |
| J0780 |
Prochlorperazine injection |
68 |
61 |
$425.99 |
| J0702 |
Betamethasone acet&sod phosp |
95 |
83 |
$425.14 |
| J2360 |
Orphenadrine injection |
78 |
75 |
$394.97 |
| 73560 |
|
20 |
12 |
$264.29 |
| 83540 |
|
37 |
37 |
$252.10 |
| 83550 |
|
24 |
24 |
$228.36 |
| 83735 |
|
63 |
50 |
$208.66 |
| 96360 |
|
17 |
15 |
$196.37 |
| J2405 |
Ondansetron hcl injection |
142 |
126 |
$185.94 |
| 85730 |
|
119 |
100 |
$180.50 |
| 83880 |
|
12 |
12 |
$169.46 |
| 82947 |
|
76 |
56 |
$164.36 |
| J7120 |
Ringers lactate infusion |
25 |
15 |
$132.14 |
| 85610 |
|
119 |
101 |
$122.75 |
| J2550 |
Promethazine hcl injection |
171 |
144 |
$113.50 |
| J2704 |
Inj, propofol, 10 mg |
362 |
218 |
$54.31 |
| J7510 |
Prednisolone oral per 5 mg |
357 |
314 |
$43.19 |
| 96372 |
|
444 |
379 |
$34.94 |
| J3010 |
Fentanyl citrate injection |
17 |
12 |
$5.16 |
| J7512 |
Prednisone ir or dr oral 1mg |
43 |
37 |
$3.36 |
| J2001 |
Lidocaine injection |
26 |
24 |
$2.23 |
| 99001 |
|
21 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
1,064 |
891 |
$0.00 |