| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
3,626 |
3,107 |
$263K |
| 99283 |
|
3,434 |
3,044 |
$194K |
| 36415 |
|
8,656 |
6,107 |
$178K |
| 80053 |
|
5,722 |
4,491 |
$178K |
| 85025 |
|
5,930 |
4,789 |
$144K |
| 99285 |
|
743 |
677 |
$138K |
| 81001 |
|
3,340 |
2,907 |
$87K |
| 96374 |
|
2,041 |
1,773 |
$73K |
| 96372 |
|
1,862 |
1,504 |
$64K |
| 96375 |
|
1,881 |
1,549 |
$64K |
| J7030 |
Normal saline solution infus |
1,549 |
1,004 |
$63K |
| 93005 |
|
2,471 |
1,938 |
$63K |
| J2704 |
Inj, propofol, 10 mg |
1,267 |
678 |
$57K |
| J2405 |
Ondansetron hcl injection |
1,461 |
1,105 |
$56K |
| 70450 |
|
897 |
825 |
$54K |
| J1885 |
Ketorolac tromethamine inj |
2,008 |
1,572 |
$53K |
| 85027 |
|
2,034 |
1,382 |
$53K |
| 74177 |
|
531 |
499 |
$52K |
| J3010 |
Fentanyl citrate injection |
1,434 |
909 |
$51K |
| 93306 |
|
420 |
355 |
$49K |
| 84703 |
|
1,111 |
963 |
$49K |
| 74176 |
|
714 |
651 |
$48K |
| 80307 |
|
873 |
786 |
$46K |
| 96365 |
|
910 |
779 |
$46K |
| 84484 |
|
2,220 |
1,421 |
$45K |
| 84443 |
|
1,497 |
1,388 |
$44K |
| 83690 |
|
1,582 |
1,352 |
$41K |
| G0480 |
Drug test def 1-7 classes |
576 |
508 |
$39K |
| 71046 |
|
1,638 |
1,490 |
$39K |
| J2250 |
Inj midazolam hydrochloride |
988 |
542 |
$36K |
| 80048 |
|
2,113 |
1,417 |
$35K |
| 96376 |
|
788 |
499 |
$34K |
| 82150 |
|
1,181 |
1,039 |
$33K |
| 87040 |
|
1,012 |
920 |
$32K |
| 82553 |
|
1,309 |
942 |
$29K |
| 83605 |
|
942 |
795 |
$28K |
| 43239 |
|
255 |
203 |
$27K |
| 87086 |
|
1,035 |
910 |
$26K |
| 87804 |
|
711 |
653 |
$26K |
| J7120 |
Ringers lactate infusion |
562 |
441 |
$25K |
| 77067 |
|
340 |
317 |
$25K |
| 82550 |
|
1,387 |
1,002 |
$24K |
| J1650 |
Inj enoxaparin sodium |
657 |
336 |
$23K |
| 71045 |
|
1,370 |
1,086 |
$22K |
| 99282 |
|
512 |
477 |
$20K |
| J2550 |
Promethazine hcl injection |
434 |
354 |
$20K |
| 85610 |
|
1,222 |
934 |
$18K |
| 94640 |
|
937 |
503 |
$17K |
| J2270 |
Morphine sulfate injection |
726 |
552 |
$17K |
| 85730 |
|
905 |
804 |
$17K |
| 86140 |
|
553 |
496 |
$16K |
| 85378 |
|
469 |
446 |
$16K |
| J3490 |
Drugs unclassified injection |
465 |
354 |
$15K |
| 80061 |
|
787 |
736 |
$15K |
| J0696 |
Ceftriaxone sodium injection |
749 |
564 |
$15K |
| 88305 |
|
191 |
152 |
$14K |
| 73562 |
|
432 |
393 |
$14K |
| 85007 |
|
808 |
670 |
$14K |
| 76705 |
|
212 |
200 |
$13K |
| 99281 |
|
551 |
511 |
$13K |
| J1100 |
Dexamethasone sodium phos |
547 |
419 |
$12K |
| 71275 |
|
176 |
158 |
$12K |
| 76770 |
|
216 |
206 |
$12K |
| 83735 |
|
535 |
463 |
$12K |
| 93017 |
|
79 |
74 |
$12K |
| 72110 |
|
274 |
264 |
$11K |
| 84439 |
|
448 |
422 |
$10K |
| 82306 |
|
271 |
261 |
$9K |
| 93971 |
|
176 |
163 |
$9K |
| 83880 |
|
364 |
326 |
$9K |
| 87880 |
|
352 |
325 |
$9K |
| 73610 |
|
252 |
232 |
$8K |
| 73130 |
|
223 |
199 |
$8K |
| 83036 |
|
481 |
456 |
$8K |
| 87186 |
|
495 |
455 |
$8K |
| 96366 |
|
311 |
280 |
$7K |
| 76830 |
|
133 |
126 |
$7K |
| 73030 |
|
247 |
232 |
$7K |
| 88342 |
|
88 |
69 |
$6K |
| 87081 |
|
292 |
273 |
$6K |
| J1200 |
Diphenhydramine hcl injectio |
257 |
226 |
$6K |
| J1815 |
Insulin injection |
369 |
181 |
$6K |
| J3370 |
Vancomycin hcl injection |
194 |
147 |
$5K |
| 76536 |
|
93 |
90 |
$5K |
| 73630 |
|
239 |
221 |
$5K |
| 90471 |
|
109 |
102 |
$5K |
| 73110 |
|
89 |
86 |
$5K |
| 72050 |
|
115 |
109 |
$5K |
| 78452 |
|
38 |
38 |
$5K |
| A9500 |
Tc99m sestamibi |
38 |
38 |
$5K |
| 74019 |
|
170 |
153 |
$4K |
| 90715 |
|
90 |
89 |
$4K |
| 76700 |
|
73 |
72 |
$4K |
| 76642 |
|
82 |
70 |
$4K |
| J2930 |
Methylprednisolone injection |
292 |
222 |
$4K |
| 74018 |
|
230 |
198 |
$4K |
| 78227 |
|
14 |
14 |
$4K |
| 82607 |
|
147 |
137 |
$4K |
| 71250 |
|
57 |
54 |
$4K |
| 85651 |
|
261 |
242 |
$4K |
| J0690 |
Cefazolin sodium injection |
150 |
115 |
$4K |
| 72148 |
|
13 |
13 |
$4K |
| 93880 |
|
16 |
13 |
$4K |
| 72100 |
|
135 |
129 |
$3K |
| 73502 |
|
126 |
114 |
$3K |
| 86901 |
|
98 |
87 |
$3K |
| 86900 |
|
98 |
87 |
$3K |
| 72125 |
|
86 |
77 |
$3K |
| 83540 |
|
172 |
157 |
$3K |
| 87591 |
|
110 |
95 |
$3K |
| 82570 |
|
191 |
183 |
$3K |
| 87491 |
|
108 |
96 |
$3K |
| 72072 |
|
76 |
73 |
$3K |
| 86850 |
|
93 |
81 |
$3K |
| 82728 |
|
117 |
106 |
$3K |
| 94761 |
|
190 |
97 |
$2K |
| 80074 |
|
78 |
76 |
$2K |
| 72131 |
|
33 |
31 |
$2K |
| 86756 |
|
88 |
76 |
$2K |
| J2060 |
Lorazepam injection |
79 |
59 |
$2K |
| 74022 |
|
67 |
58 |
$2K |
| 87070 |
|
116 |
107 |
$2K |
| 82043 |
|
90 |
85 |
$2K |
| J7613 |
Albuterol non-comp unit |
56 |
31 |
$2K |
| 77065 |
Tomosynthesis, mammo |
40 |
40 |
$2K |
| J7611 |
Albuterol non-comp con |
66 |
54 |
$1K |
| 88304 |
|
40 |
29 |
$1K |
| J7644 |
Ipratropium bromide non-comp |
67 |
55 |
$1K |
| A9537 |
Tc99m mebrofenin |
15 |
14 |
$1K |
| J2780 |
Ranitidine hydrochloride inj |
75 |
55 |
$1K |
| J2300 |
Inj nalbuphine hydrochloride |
32 |
12 |
$1K |
| 73090 |
|
18 |
18 |
$1K |
| 51702 |
|
106 |
102 |
$1K |
| 84436 |
|
62 |
56 |
$1K |
| 84479 |
|
46 |
40 |
$927.53 |
| 84702 |
|
38 |
30 |
$848.77 |
| 76856 |
|
13 |
12 |
$824.96 |
| 97110 |
|
79 |
16 |
$735.08 |
| 93225 |
|
32 |
31 |
$664.73 |
| 80076 |
|
16 |
14 |
$624.09 |
| 99213 |
|
50 |
50 |
$606.84 |
| 82784 |
|
35 |
33 |
$595.41 |
| 97035 |
|
28 |
12 |
$461.48 |
| 86592 |
|
28 |
26 |
$392.30 |
| 83516 |
|
17 |
16 |
$391.81 |
| 97014 |
|
43 |
12 |
$391.64 |
| 73590 |
|
12 |
12 |
$385.36 |
| 82140 |
|
12 |
12 |
$368.62 |
| J2360 |
Orphenadrine injection |
16 |
14 |
$292.45 |
| 73080 |
|
16 |
12 |
$171.00 |
| J1170 |
Hydromorphone injection |
44 |
30 |
$148.67 |
| 87210 |
|
17 |
13 |
$141.14 |
| 87220 |
|
17 |
13 |
$139.46 |
| 99214 |
|
17 |
17 |
$135.68 |
| J1956 |
Levofloxacin injection |
19 |
13 |
$100.17 |
| G0378 |
Hospital observation per hr |
13 |
13 |
$95.12 |
| 51701 |
|
13 |
12 |
$90.93 |
| 86255 |
|
16 |
14 |
$64.11 |
| J0330 |
Succinycholine chloride inj |
16 |
13 |
$20.90 |
| 94664 |
|
12 |
12 |
$14.80 |
| G9903 |
Pt scrn tbco id as non user |
127 |
116 |
$0.00 |
| 1036F |
|
128 |
116 |
$0.00 |
| 1123F |
|
13 |
13 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
28 |
27 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
184 |
170 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
106 |
96 |
$0.00 |
| 4004F |
|
29 |
28 |
$0.00 |