| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
2,177 |
2,142 |
$2.04M |
| 99285 |
|
287 |
267 |
$558K |
| 99283 |
|
1,883 |
1,865 |
$300K |
| 87635 |
|
1,521 |
1,509 |
$210K |
| 80053 |
|
622 |
587 |
$150K |
| 87804 |
|
976 |
961 |
$145K |
| 87502 |
|
668 |
665 |
$93K |
| 71046 |
|
412 |
406 |
$86K |
| 70551 |
|
45 |
39 |
$80K |
| 41899 |
|
15 |
12 |
$67K |
| 99282 |
|
688 |
683 |
$62K |
| 87880 |
|
847 |
838 |
$56K |
| 87807 |
|
481 |
477 |
$55K |
| 88304 |
|
115 |
98 |
$46K |
| 81001 |
|
805 |
783 |
$44K |
| 87086 |
|
369 |
357 |
$43K |
| 85025 |
|
655 |
629 |
$29K |
| 87634 |
|
512 |
509 |
$26K |
| 99213 |
|
63 |
58 |
$16K |
| 74018 |
|
105 |
99 |
$16K |
| 70450 |
|
12 |
12 |
$15K |
| 99281 |
|
138 |
137 |
$8K |
| 87040 |
|
67 |
63 |
$8K |
| 76376 |
|
12 |
12 |
$6K |
| 76705 |
|
27 |
27 |
$5K |
| 85007 |
|
153 |
128 |
$5K |
| 94640 |
|
265 |
254 |
$5K |
| 85027 |
|
84 |
60 |
$3K |
| 80048 |
|
15 |
15 |
$3K |
| 86140 |
|
64 |
60 |
$2K |
| 84145 |
|
13 |
12 |
$2K |
| 71045 |
|
17 |
17 |
$1K |
| J1100 |
Dexamethasone sodium phos |
472 |
399 |
$1K |
| J3010 |
Fentanyl citrate injection |
314 |
257 |
$840.29 |
| J2405 |
Ondansetron hcl injection |
298 |
244 |
$745.52 |
| J1885 |
Ketorolac tromethamine inj |
148 |
107 |
$424.35 |
| S0119 |
Ondansetron 4 mg |
663 |
644 |
$228.30 |
| J2250 |
Inj midazolam hydrochloride |
75 |
58 |
$155.00 |
| J7613 |
Albuterol non-comp unit |
79 |
77 |
$115.00 |
| J0690 |
Cefazolin sodium injection |
54 |
29 |
$109.63 |
| J0696 |
Ceftriaxone sodium injection |
38 |
37 |
$99.00 |
| 96361 |
|
14 |
12 |
$83.90 |
| J0131 |
Inj, acetaminophen (nos) |
47 |
25 |
$82.13 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
162 |
128 |
$15.75 |
| J7644 |
Ipratropium bromide non-comp |
15 |
15 |
$10.00 |
| J1642 |
Inj heparin sodium per 10 u |
83 |
55 |
$9.00 |
| P9612 |
Catheterize for urine spec |
119 |
118 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
285 |
226 |
$0.00 |
| 0202U |
|
180 |
176 |
$0.00 |
| J1105 |
Dexmedetomidine film, 1 mcg |
33 |
31 |
$0.00 |
| 96360 |
|
55 |
52 |
$0.00 |
| 98960 |
|
14 |
14 |
$0.00 |