| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
27,438 |
19,267 |
$8.04M |
| 99283 |
|
18,794 |
14,352 |
$4.54M |
| 99285 |
|
7,928 |
5,050 |
$3.60M |
| 99282 |
|
11,407 |
8,016 |
$1.37M |
| 93005 |
|
7,275 |
5,941 |
$587K |
| 85025 |
|
21,351 |
17,073 |
$527K |
| 80053 |
|
15,693 |
12,935 |
$432K |
| 97530 |
|
2,006 |
1,032 |
$401K |
| 99213 |
|
4,654 |
3,942 |
$254K |
| 97110 |
|
1,893 |
639 |
$173K |
| 96374 |
|
1,716 |
1,409 |
$140K |
| 99214 |
|
2,267 |
1,665 |
$130K |
| 36415 |
|
14,649 |
12,192 |
$121K |
| 73630 |
|
1,384 |
831 |
$111K |
| 71045 |
|
1,227 |
672 |
$74K |
| 84443 |
|
2,418 |
2,191 |
$69K |
| 83605 |
|
1,749 |
1,426 |
$59K |
| 74177 |
|
71 |
64 |
$50K |
| 96365 |
|
389 |
265 |
$50K |
| 80048 |
|
2,472 |
2,119 |
$48K |
| 96375 |
|
769 |
573 |
$42K |
| 84484 |
|
1,331 |
982 |
$41K |
| 81003 |
|
3,932 |
3,438 |
$41K |
| 93010 |
|
4,227 |
3,401 |
$41K |
| 87635 |
|
803 |
726 |
$40K |
| 96361 |
|
285 |
239 |
$39K |
| 71046 |
|
517 |
463 |
$33K |
| 80061 |
|
1,108 |
1,055 |
$32K |
| 87502 |
|
321 |
297 |
$30K |
| 83690 |
|
1,329 |
1,151 |
$29K |
| 87086 |
|
1,484 |
1,379 |
$28K |
| 83735 |
|
1,481 |
1,233 |
$27K |
| 96413 |
|
87 |
44 |
$20K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
618 |
575 |
$19K |
| 85027 |
|
1,468 |
1,335 |
$18K |
| 0241U |
|
172 |
161 |
$17K |
| 81001 |
|
1,260 |
1,138 |
$16K |
| 87491 |
|
331 |
311 |
$15K |
| 87591 |
|
331 |
311 |
$13K |
| J7120 |
Ringers lactate infusion |
368 |
329 |
$12K |
| 81025 |
|
583 |
546 |
$12K |
| J2405 |
Ondansetron hcl injection |
1,363 |
1,136 |
$11K |
| 83036 |
|
607 |
570 |
$10K |
| 87631 |
|
43 |
40 |
$8K |
| 93306 |
|
27 |
24 |
$8K |
| J1100 |
Dexamethasone sodium phos |
443 |
362 |
$8K |
| J3010 |
Fentanyl citrate injection |
527 |
464 |
$7K |
| 92507 |
|
45 |
25 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
611 |
543 |
$6K |
| 82306 |
|
99 |
88 |
$6K |
| 73610 |
|
49 |
43 |
$5K |
| 87186 |
|
186 |
155 |
$4K |
| 76816 |
|
27 |
12 |
$4K |
| J2001 |
Lidocaine injection |
792 |
649 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
287 |
269 |
$3K |
| 99203 |
|
35 |
31 |
$3K |
| 87077 |
|
126 |
108 |
$3K |
| 82728 |
|
63 |
58 |
$3K |
| 59025 |
|
31 |
12 |
$2K |
| J1170 |
Hydromorphone injection |
187 |
132 |
$2K |
| 88305 |
|
12 |
12 |
$2K |
| 99212 |
|
59 |
52 |
$2K |
| 86902 |
|
31 |
28 |
$2K |
| 87070 |
|
81 |
78 |
$2K |
| 83880 |
|
100 |
84 |
$2K |
| 87651 |
|
41 |
36 |
$2K |
| 83550 |
|
38 |
34 |
$1K |
| 99215 |
Prolong outpt/office vis |
70 |
26 |
$1K |
| 83540 |
|
38 |
34 |
$1K |
| 86780 |
|
83 |
79 |
$1K |
| 84439 |
|
55 |
49 |
$1K |
| 82607 |
|
43 |
36 |
$925.12 |
| 85610 |
|
131 |
112 |
$923.03 |
| 86901 |
|
57 |
52 |
$694.73 |
| 86900 |
|
57 |
52 |
$688.47 |
| 73030 |
|
15 |
13 |
$686.03 |
| 99239 |
|
15 |
12 |
$667.00 |
| J0690 |
Cefazolin sodium injection |
19 |
13 |
$644.30 |
| 84550 |
|
36 |
28 |
$622.48 |
| 87880 |
|
57 |
53 |
$590.84 |
| J7040 |
Normal saline solution infus |
47 |
40 |
$586.15 |
| 86703 |
|
14 |
14 |
$548.90 |
| 87899 |
|
14 |
14 |
$540.41 |
| 94664 |
|
13 |
12 |
$526.96 |
| 84145 |
|
17 |
12 |
$481.25 |
| 88175 |
|
28 |
27 |
$477.19 |
| 80306 |
|
20 |
17 |
$470.40 |
| 96372 |
|
14 |
12 |
$351.45 |
| 80321 |
|
27 |
17 |
$345.60 |
| J2704 |
Inj, propofol, 10 mg |
15 |
12 |
$301.27 |
| 86140 |
|
14 |
12 |
$281.55 |
| 85730 |
|
19 |
16 |
$260.36 |
| J3490 |
Drugs unclassified injection |
27 |
24 |
$214.05 |
| 85651 |
|
14 |
12 |
$198.40 |
| Q0162 |
Ondansetron oral |
83 |
65 |
$2.24 |
| 0353U |
|
42 |
38 |
$0.00 |
| A9270 |
Non-covered item or service |
476 |
193 |
$0.00 |