| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
12,316 |
10,769 |
$529K |
| G0463 |
Hospital outpt clinic visit |
7,795 |
6,375 |
$230K |
| Z7502 |
|
3,753 |
3,663 |
$142K |
| 99285 |
|
638 |
568 |
$138K |
| 96374 |
|
2,506 |
2,299 |
$87K |
| 74176 |
|
963 |
909 |
$84K |
| 70450 |
|
1,165 |
1,097 |
$82K |
| 99281 |
|
754 |
683 |
$75K |
| 99283 |
|
974 |
858 |
$72K |
| 99284 |
|
778 |
705 |
$72K |
| 74177 |
|
432 |
417 |
$65K |
| 96360 |
|
1,569 |
1,456 |
$56K |
| 96375 |
|
1,892 |
1,746 |
$51K |
| 80053 |
|
7,460 |
6,449 |
$51K |
| 0301 |
|
426 |
392 |
$51K |
| 93000 |
|
2,076 |
1,969 |
$50K |
| 0250 |
|
2,494 |
1,661 |
$41K |
| 80307 |
|
797 |
769 |
$39K |
| 97110 |
|
3,144 |
891 |
$37K |
| 71045 |
|
3,230 |
2,985 |
$36K |
| 85025 |
|
8,389 |
7,181 |
$35K |
| 96365 |
|
761 |
729 |
$33K |
| 93005 |
|
2,294 |
2,091 |
$31K |
| J3490 |
Drugs unclassified injection |
8,296 |
4,069 |
$30K |
| 0360 |
|
1,107 |
580 |
$30K |
| 0206 |
|
51 |
44 |
$28K |
| 96372 |
|
1,435 |
1,342 |
$28K |
| 0710 |
|
1,607 |
1,530 |
$26K |
| 96361 |
|
1,406 |
1,308 |
$26K |
| G0480 |
Drug test def 1-7 classes |
491 |
466 |
$25K |
| J7030 |
Normal saline solution infus |
3,400 |
2,996 |
$24K |
| 97140 |
|
2,701 |
798 |
$22K |
| 0510 |
|
1,661 |
1,587 |
$19K |
| Z7610 |
|
1,432 |
910 |
$18K |
| 93306 |
|
249 |
226 |
$17K |
| 0272 |
|
925 |
771 |
$17K |
| 83880 |
|
1,057 |
946 |
$16K |
| J2704 |
Inj, propofol, 10 mg |
975 |
890 |
$15K |
| 0305 |
|
406 |
375 |
$14K |
| 99199 |
|
112 |
107 |
$12K |
| 87086 |
|
2,466 |
2,318 |
$12K |
| 0121 |
|
44 |
42 |
$12K |
| 99282 |
|
219 |
199 |
$11K |
| 0300 |
|
444 |
399 |
$11K |
| 84484 |
|
1,857 |
1,665 |
$11K |
| 83735 |
|
3,521 |
2,888 |
$11K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
905 |
831 |
$10K |
| 85730 |
|
2,279 |
2,111 |
$10K |
| 88305 |
|
546 |
523 |
$10K |
| 83690 |
|
2,099 |
1,923 |
$9K |
| 0306 |
|
397 |
369 |
$8K |
| 81001 |
|
3,411 |
3,190 |
$8K |
| 94640 |
|
681 |
575 |
$8K |
| G0283 |
Elec stim other than wound |
1,611 |
457 |
$8K |
| 36415 |
|
2,478 |
1,913 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
1,731 |
1,556 |
$8K |
| 0730 |
|
191 |
175 |
$7K |
| 81025 |
|
1,908 |
1,806 |
$7K |
| 85610 |
|
2,346 |
2,167 |
$7K |
| 87497 |
|
582 |
440 |
$7K |
| 80048 |
|
828 |
720 |
$7K |
| 0320 |
|
191 |
176 |
$7K |
| 73562 |
|
513 |
417 |
$7K |
| 80197 |
|
1,588 |
1,070 |
$6K |
| 43239 |
|
188 |
186 |
$5K |
| J2270 |
Morphine sulfate injection |
925 |
818 |
$5K |
| J2405 |
Ondansetron hcl injection |
1,841 |
1,674 |
$5K |
| 76705 |
|
149 |
142 |
$5K |
| 87040 |
|
509 |
478 |
$5K |
| 0420 |
|
210 |
99 |
$5K |
| 83605 |
|
736 |
691 |
$5K |
| 0270 |
|
1,454 |
790 |
$4K |
| 0258 |
|
520 |
447 |
$4K |
| 90715 |
|
127 |
126 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
447 |
396 |
$3K |
| 71046 |
|
322 |
308 |
$3K |
| 84443 |
|
380 |
350 |
$3K |
| 87400 |
|
687 |
661 |
$3K |
| 0370 |
|
165 |
142 |
$3K |
| 45378 |
|
118 |
118 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
1,237 |
1,123 |
$3K |
| 87186 |
|
568 |
550 |
$3K |
| 0352 |
|
16 |
12 |
$3K |
| 0324 |
|
74 |
73 |
$3K |
| 0760 |
|
260 |
247 |
$3K |
| 20610 |
|
157 |
125 |
$3K |
| 0637 |
|
466 |
383 |
$2K |
| 94664 |
|
341 |
310 |
$2K |
| S0164 |
Injection pantroprazole |
275 |
259 |
$2K |
| 87077 |
|
590 |
568 |
$2K |
| 45380 |
|
126 |
124 |
$2K |
| 76856 |
|
59 |
57 |
$2K |
| Q0144 |
Azithromycin dihydrate, oral |
15 |
13 |
$2K |
| 0761 |
|
261 |
244 |
$2K |
| 84100 |
|
1,706 |
1,189 |
$2K |
| 72100 |
|
74 |
70 |
$2K |
| 93041 |
|
353 |
332 |
$2K |
| 73610 |
|
45 |
43 |
$2K |
| 73030 |
|
89 |
82 |
$1K |
| G0378 |
Hospital observation per hr |
15 |
14 |
$1K |
| J3010 |
Fentanyl citrate injection |
1,033 |
937 |
$1K |
| 86850 |
|
455 |
431 |
$1K |
| 97162 |
|
90 |
87 |
$1K |
| 88312 |
|
213 |
210 |
$1K |
| 70486 |
|
12 |
12 |
$1K |
| J0690 |
Cefazolin sodium injection |
479 |
418 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
340 |
323 |
$1K |
| 96366 |
|
44 |
44 |
$1K |
| 82962 |
|
540 |
409 |
$849.57 |
| J1644 |
Inj heparin sodium per 1000u |
186 |
137 |
$818.52 |
| J1170 |
Hydromorphone injection |
253 |
230 |
$795.39 |
| 0636 |
|
118 |
95 |
$787.84 |
| 86900 |
|
511 |
486 |
$780.23 |
| 86901 |
|
513 |
487 |
$754.10 |
| J1100 |
Dexamethasone sodium phos |
201 |
193 |
$754.04 |
| J7040 |
Normal saline solution infus |
401 |
366 |
$625.18 |
| 82570 |
|
322 |
285 |
$612.41 |
| 97161 |
|
50 |
50 |
$600.69 |
| J7120 |
Ringers lactate infusion |
305 |
284 |
$563.75 |
| 73502 |
|
44 |
38 |
$545.99 |
| 84439 |
|
84 |
77 |
$498.28 |
| J2175 |
Meperidine hydrochl /100 mg |
85 |
85 |
$403.83 |
| 84156 |
|
293 |
258 |
$386.26 |
| 90471 |
|
68 |
66 |
$361.87 |
| J2710 |
Neostigmine methylslfte inj |
13 |
12 |
$357.62 |
| J2930 |
Methylprednisolone injection |
52 |
50 |
$343.21 |
| 0307 |
|
103 |
90 |
$283.19 |
| 84702 |
|
29 |
26 |
$280.91 |
| J2001 |
Lidocaine injection |
188 |
167 |
$269.01 |
| J2765 |
Metoclopramide hcl injection |
76 |
65 |
$259.37 |
| 71010 |
|
15 |
15 |
$223.35 |
| 96376 |
|
37 |
37 |
$196.20 |
| 73564 |
|
20 |
16 |
$182.97 |
| 80061 |
|
113 |
107 |
$176.36 |
| 87147 |
|
52 |
52 |
$130.65 |
| 87880 |
|
26 |
26 |
$124.35 |
| J2060 |
Lorazepam injection |
26 |
26 |
$110.05 |
| 87799 |
|
51 |
44 |
$107.13 |
| G8978 |
Mobility current status |
86 |
78 |
$106.38 |
| S0020 |
Injection, bupivicaine hydro |
41 |
38 |
$99.81 |
| 85379 |
|
12 |
12 |
$87.30 |
| 99214 |
|
65 |
57 |
$86.06 |
| 82150 |
|
17 |
13 |
$85.95 |
| 88304 |
|
51 |
49 |
$67.10 |
| 84703 |
|
12 |
12 |
$55.57 |
| 82550 |
|
14 |
14 |
$44.08 |
| 81003 |
|
26 |
25 |
$27.00 |
| 80195 |
|
14 |
12 |
$23.98 |
| G8979 |
Mobility goal status |
106 |
95 |
$0.00 |
| 0483 |
|
14 |
14 |
$0.00 |