| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
34,190 |
29,731 |
$2.21M |
| 87633 |
|
7,880 |
7,153 |
$1.70M |
| 99283 |
|
29,324 |
26,247 |
$1.12M |
| 70450 |
|
3,325 |
2,864 |
$242K |
| 80053 |
|
23,533 |
20,048 |
$233K |
| 74177 |
|
1,281 |
1,131 |
$201K |
| 99285 |
|
2,306 |
2,103 |
$199K |
| 85025 |
|
24,971 |
21,219 |
$195K |
| 93005 |
|
12,578 |
10,471 |
$125K |
| 87081 |
|
13,070 |
12,138 |
$122K |
| 87086 |
|
10,536 |
9,150 |
$109K |
| 87426 |
|
4,956 |
4,369 |
$108K |
| 87637 |
|
950 |
881 |
$98K |
| 87804 |
|
6,204 |
4,052 |
$94K |
| 71045 |
|
13,229 |
11,461 |
$66K |
| 74176 |
|
926 |
803 |
$60K |
| G0480 |
Drug test def 1-7 classes |
1,145 |
970 |
$53K |
| 69436 |
|
361 |
148 |
$47K |
| 87430 |
|
2,521 |
2,292 |
$42K |
| 87880 |
|
2,954 |
2,667 |
$39K |
| 84484 |
|
5,126 |
4,320 |
$38K |
| 83690 |
|
5,469 |
4,753 |
$36K |
| 97597 |
|
1,385 |
540 |
$33K |
| 81025 |
|
8,593 |
7,568 |
$29K |
| 81003 |
|
11,509 |
9,677 |
$27K |
| 11042 |
|
679 |
305 |
$26K |
| 81001 |
|
5,093 |
4,472 |
$20K |
| 87389 |
|
453 |
407 |
$13K |
| G0463 |
Hospital outpt clinic visit |
669 |
422 |
$13K |
| 83605 |
|
1,240 |
1,072 |
$12K |
| 99282 |
|
225 |
189 |
$10K |
| 59025 |
|
2,091 |
1,139 |
$9K |
| 87651 |
|
234 |
222 |
$9K |
| 66984 |
|
17 |
13 |
$9K |
| 80306 |
|
914 |
718 |
$9K |
| 72125 |
|
108 |
96 |
$8K |
| 71046 |
|
898 |
777 |
$8K |
| 83880 |
|
272 |
225 |
$8K |
| 83735 |
|
843 |
728 |
$6K |
| 87591 |
|
159 |
145 |
$6K |
| 84443 |
|
388 |
345 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
859 |
790 |
$5K |
| 85610 |
|
1,493 |
1,254 |
$5K |
| 84439 |
|
559 |
499 |
$5K |
| 87186 |
|
425 |
363 |
$4K |
| 86592 |
|
610 |
549 |
$4K |
| 87040 |
|
354 |
276 |
$4K |
| 0202U |
|
74 |
70 |
$4K |
| 82607 |
|
249 |
236 |
$4K |
| 80307 |
|
114 |
97 |
$4K |
| 85027 |
|
598 |
533 |
$4K |
| 0002A |
|
121 |
111 |
$3K |
| 87077 |
|
336 |
284 |
$3K |
| 0001A |
|
131 |
122 |
$3K |
| 87806 |
|
107 |
99 |
$3K |
| 95810 |
|
19 |
14 |
$3K |
| 82150 |
|
468 |
407 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
2,647 |
2,305 |
$3K |
| 87807 |
|
238 |
220 |
$3K |
| 86762 |
|
102 |
93 |
$2K |
| 86803 |
|
105 |
96 |
$2K |
| 95811 |
|
14 |
12 |
$2K |
| 87340 |
|
124 |
109 |
$2K |
| J2270 |
Morphine sulfate injection |
805 |
666 |
$2K |
| 97110 |
|
39 |
12 |
$2K |
| 82306 |
|
235 |
222 |
$2K |
| 81015 |
|
609 |
547 |
$2K |
| 86709 |
|
91 |
83 |
$2K |
| J2405 |
Ondansetron hcl injection |
5,735 |
4,776 |
$1K |
| 85730 |
|
876 |
741 |
$1K |
| 86850 |
|
186 |
163 |
$1K |
| 86900 |
|
365 |
318 |
$1K |
| 86901 |
|
365 |
318 |
$1K |
| J7040 |
Normal saline solution infus |
639 |
535 |
$1K |
| 87070 |
|
62 |
53 |
$794.01 |
| 94640 |
|
82 |
67 |
$707.93 |
| 80061 |
|
27 |
25 |
$529.69 |
| 76705 |
|
14 |
13 |
$500.30 |
| 80048 |
|
59 |
56 |
$480.87 |
| 87635 |
|
23 |
14 |
$413.03 |
| 87801 |
|
12 |
12 |
$358.82 |
| 82947 |
|
59 |
52 |
$319.28 |
| 82247 |
|
63 |
51 |
$305.55 |
| 83655 |
|
16 |
13 |
$266.40 |
| J1100 |
Dexamethasone sodium phos |
557 |
456 |
$264.48 |
| 84481 |
|
16 |
16 |
$257.55 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
118 |
77 |
$216.80 |
| 84466 |
|
12 |
12 |
$207.02 |
| 83036 |
|
13 |
13 |
$205.26 |
| J0696 |
Ceftriaxone sodium injection |
152 |
121 |
$186.98 |
| 72100 |
|
16 |
14 |
$179.37 |
| 84702 |
|
14 |
13 |
$171.90 |
| 82746 |
|
12 |
12 |
$159.06 |
| 82728 |
|
12 |
12 |
$123.31 |
| 82550 |
|
15 |
13 |
$114.03 |
| 83540 |
|
12 |
12 |
$85.03 |
| 85380 |
|
13 |
13 |
$82.95 |
| 85044 |
|
12 |
12 |
$69.52 |
| 84436 |
|
12 |
12 |
$53.10 |
| J2765 |
Metoclopramide hcl injection |
25 |
25 |
$19.28 |
| J3010 |
Fentanyl citrate injection |
485 |
368 |
$12.00 |
| 36415 |
|
6,333 |
5,064 |
$6.24 |
| 82962 |
|
114 |
66 |
$2.85 |
| 93010 |
|
1,084 |
837 |
$0.35 |
| J2795 |
Ropivacaine hcl injection |
118 |
66 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
133 |
78 |
$0.00 |
| 96375 |
|
36 |
26 |
$0.00 |
| 0241U |
|
81 |
75 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
43 |
27 |
$0.00 |
| 96372 |
|
82 |
71 |
$0.00 |
| 80320 |
|
122 |
83 |
$0.00 |
| 96374 |
|
54 |
45 |
$0.00 |
| Q0162 |
Ondansetron oral |
15 |
12 |
$0.00 |
| 87491 |
|
144 |
132 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
169 |
102 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
15 |
12 |
$0.00 |