| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
8,077 |
5,536 |
$1.17M |
| 74176 |
|
1,537 |
1,108 |
$1.04M |
| 70450 |
|
1,601 |
1,083 |
$562K |
| 97110 |
|
6,333 |
1,285 |
$544K |
| 99285 |
|
3,380 |
2,259 |
$522K |
| 74177 |
|
798 |
519 |
$504K |
| 80053 |
|
44,234 |
22,149 |
$500K |
| 99283 |
|
4,208 |
3,389 |
$435K |
| 80061 |
|
12,914 |
9,398 |
$321K |
| 85025 |
|
31,459 |
19,811 |
$283K |
| G0378 |
Hospital observation per hr |
1,020 |
660 |
$272K |
| 84443 |
|
9,662 |
7,279 |
$267K |
| 93005 |
|
5,485 |
3,669 |
$224K |
| 80306 |
|
4,149 |
2,903 |
$208K |
| 82306 |
|
3,896 |
2,706 |
$195K |
| 84484 |
|
4,523 |
2,441 |
$180K |
| 96372 |
|
2,941 |
1,631 |
$174K |
| 71045 |
|
3,529 |
2,391 |
$171K |
| 71046 |
|
2,479 |
1,859 |
$164K |
| 96374 |
|
1,896 |
1,022 |
$161K |
| 87428 |
|
3,040 |
2,049 |
$144K |
| 36000 |
|
3,502 |
1,316 |
$143K |
| 81001 |
|
7,895 |
5,713 |
$141K |
| 83036 |
|
8,404 |
6,184 |
$141K |
| 81025 |
|
2,221 |
1,696 |
$140K |
| 83690 |
|
4,607 |
3,099 |
$137K |
| 84439 |
|
5,186 |
3,876 |
$136K |
| 82607 |
|
3,069 |
2,126 |
$110K |
| 87880 |
|
3,283 |
2,645 |
$97K |
| 87086 |
|
5,437 |
3,821 |
$96K |
| 92507 |
|
1,823 |
510 |
$93K |
| 96365 |
|
824 |
370 |
$90K |
| 36415 |
|
19,224 |
10,336 |
$89K |
| 77067 |
|
1,086 |
942 |
$87K |
| 87636 |
|
1,591 |
1,032 |
$86K |
| 87502 |
|
1,403 |
1,175 |
$84K |
| 80048 |
|
9,674 |
4,245 |
$82K |
| 76705 |
|
436 |
332 |
$71K |
| 96375 |
|
1,001 |
764 |
$67K |
| 97530 |
|
907 |
261 |
$61K |
| 87070 |
|
1,208 |
754 |
$54K |
| 83540 |
|
2,102 |
1,486 |
$53K |
| 83605 |
|
1,463 |
803 |
$52K |
| 97140 |
|
1,037 |
302 |
$51K |
| 83880 |
|
1,828 |
1,092 |
$50K |
| 94762 |
|
1,605 |
1,184 |
$47K |
| 99282 |
|
590 |
503 |
$46K |
| 94664 |
|
1,473 |
956 |
$45K |
| 99213 |
|
1,719 |
1,559 |
$45K |
| 96361 |
|
1,061 |
628 |
$44K |
| 87635 |
|
2,529 |
1,470 |
$43K |
| 82043 |
|
1,796 |
1,126 |
$41K |
| 85379 |
|
874 |
615 |
$38K |
| 87186 |
|
2,329 |
1,684 |
$33K |
| 82150 |
|
1,325 |
986 |
$33K |
| 86141 |
|
1,150 |
701 |
$32K |
| 84481 |
|
151 |
129 |
$31K |
| 80076 |
|
1,628 |
1,069 |
$25K |
| 83735 |
|
2,356 |
1,542 |
$24K |
| G0103 |
Psa screening |
1,589 |
737 |
$23K |
| 85610 |
|
2,927 |
1,890 |
$21K |
| 87077 |
|
4,176 |
2,228 |
$20K |
| 84703 |
|
220 |
180 |
$19K |
| G0481 |
Drug test def 8-14 classes |
147 |
100 |
$18K |
| 73630 |
|
221 |
172 |
$17K |
| 87040 |
|
261 |
159 |
$17K |
| 85730 |
|
637 |
481 |
$14K |
| 96360 |
|
135 |
84 |
$14K |
| 97112 |
|
278 |
81 |
$12K |
| 82553 |
|
291 |
196 |
$12K |
| 73610 |
|
162 |
107 |
$12K |
| J1885 |
Ketorolac tromethamine inj |
4,341 |
2,424 |
$11K |
| M0243 |
Casirivi and imdevi inj |
70 |
48 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
1,560 |
763 |
$11K |
| 73030 |
|
150 |
120 |
$11K |
| 86140 |
|
311 |
276 |
$11K |
| 82550 |
|
370 |
258 |
$10K |
| 84480 |
|
197 |
164 |
$10K |
| 97161 |
|
160 |
105 |
$10K |
| 72100 |
|
90 |
80 |
$10K |
| J2405 |
Ondansetron hcl injection |
3,834 |
2,134 |
$9K |
| 85027 |
|
282 |
237 |
$8K |
| 83874 |
|
166 |
133 |
$8K |
| 87491 |
|
215 |
185 |
$7K |
| 93306 |
|
28 |
14 |
$7K |
| J7030 |
Normal saline solution infus |
4,181 |
2,171 |
$6K |
| 82962 |
|
577 |
156 |
$6K |
| 73130 |
|
60 |
52 |
$5K |
| 82803 |
|
32 |
30 |
$4K |
| 87591 |
|
133 |
108 |
$4K |
| 99212 |
|
202 |
191 |
$4K |
| 80307 |
|
86 |
56 |
$4K |
| 85652 |
|
209 |
136 |
$4K |
| E0440 |
Oxygen system liquid station |
115 |
93 |
$4K |
| 82746 |
|
92 |
58 |
$4K |
| J7040 |
Normal saline solution infus |
908 |
547 |
$3K |
| 77063 |
|
42 |
40 |
$3K |
| Q0162 |
Ondansetron oral |
170 |
140 |
$3K |
| P9604 |
One-way allow prorated trip |
4,309 |
897 |
$3K |
| 73560 |
|
51 |
42 |
$3K |
| 82728 |
|
51 |
38 |
$3K |
| J7120 |
Ringers lactate infusion |
861 |
653 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
301 |
237 |
$3K |
| 80074 |
|
41 |
25 |
$3K |
| 99281 |
|
107 |
103 |
$3K |
| 84145 |
|
58 |
40 |
$3K |
| 94640 |
|
162 |
36 |
$3K |
| 76536 |
|
13 |
12 |
$2K |
| 84436 |
|
28 |
26 |
$2K |
| 82948 |
|
414 |
90 |
$2K |
| J2270 |
Morphine sulfate injection |
1,365 |
444 |
$2K |
| 87807 |
|
55 |
32 |
$2K |
| 87389 |
|
21 |
13 |
$2K |
| 82570 |
|
133 |
96 |
$2K |
| 99308 |
|
192 |
116 |
$2K |
| 84591 |
|
61 |
51 |
$1K |
| G0483 |
Drug test def 22+ classes |
21 |
20 |
$1K |
| 73110 |
|
12 |
12 |
$1K |
| J1170 |
Hydromorphone injection |
622 |
184 |
$1K |
| 97164 |
|
23 |
12 |
$1K |
| J0131 |
Inj, acetaminophen (nos) |
63 |
40 |
$1K |
| 99203 |
|
26 |
26 |
$1K |
| 0031A |
|
71 |
43 |
$1K |
| J1100 |
Dexamethasone sodium phos |
405 |
219 |
$1K |
| J2930 |
Methylprednisolone injection |
191 |
159 |
$1K |
| 86800 |
|
13 |
13 |
$1K |
| J7620 |
Albuterol ipratrop non-comp |
1,353 |
322 |
$1K |
| J3490 |
Drugs unclassified injection |
495 |
193 |
$1K |
| 86308 |
|
27 |
25 |
$939.42 |
| 85007 |
|
155 |
126 |
$616.55 |
| J2250 |
Inj midazolam hydrochloride |
309 |
245 |
$395.49 |
| 90715 |
|
19 |
14 |
$336.96 |
| 84550 |
|
14 |
13 |
$286.98 |
| J7050 |
Normal saline solution infus |
245 |
114 |
$216.26 |
| S0119 |
Ondansetron 4 mg |
180 |
120 |
$214.13 |
| 83550 |
|
40 |
19 |
$201.24 |
| J2001 |
Lidocaine injection |
199 |
152 |
$128.35 |
| J2550 |
Promethazine hcl injection |
23 |
13 |
$120.51 |
| J2920 |
Methylprednisolone injection |
24 |
12 |
$106.43 |
| J3010 |
Fentanyl citrate injection |
32 |
25 |
$100.45 |
| J2919 |
Inj, methylpred sod succ 5mg |
19 |
13 |
$99.33 |
| S0028 |
Injection, famotidine, 20 mg |
94 |
54 |
$90.48 |
| J7613 |
Albuterol non-comp unit |
72 |
42 |
$90.03 |
| J2274 |
Inj morphine pf epid ithc |
38 |
26 |
$84.96 |
| J2272 |
Inj, morphine (fresenius) |
30 |
16 |
$47.76 |
| J1200 |
Diphenhydramine hcl injectio |
16 |
13 |
$16.08 |