| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
9,592 |
7,814 |
$2.13M |
| 99283 |
|
10,673 |
9,209 |
$1.51M |
| 99285 |
|
4,878 |
2,980 |
$1.09M |
| 74176 |
|
1,796 |
1,352 |
$790K |
| 74177 |
|
989 |
744 |
$473K |
| 96374 |
|
4,857 |
3,581 |
$473K |
| 70450 |
|
2,865 |
1,832 |
$448K |
| 97110 |
|
9,240 |
2,438 |
$292K |
| 80053 |
|
31,108 |
16,153 |
$278K |
| 99282 |
|
3,365 |
3,005 |
$268K |
| 71046 |
|
5,038 |
3,890 |
$229K |
| 93005 |
|
8,802 |
7,064 |
$228K |
| 87428 |
|
7,427 |
5,956 |
$198K |
| 87635 |
|
5,288 |
3,996 |
$192K |
| 36415 |
|
46,492 |
17,724 |
$168K |
| 87502 |
|
3,696 |
3,278 |
$162K |
| 96372 |
|
6,006 |
4,293 |
$160K |
| 96361 |
|
3,857 |
2,588 |
$157K |
| 71045 |
|
6,395 |
3,003 |
$155K |
| 96365 |
|
2,104 |
1,028 |
$148K |
| 87880 |
|
10,730 |
9,279 |
$131K |
| 96375 |
|
3,169 |
2,634 |
$114K |
| 85025 |
|
17,636 |
14,836 |
$99K |
| 84443 |
|
7,402 |
6,829 |
$96K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,442 |
1,303 |
$92K |
| 82306 |
|
4,400 |
4,053 |
$85K |
| 80061 |
|
6,819 |
6,012 |
$70K |
| 99281 |
|
1,547 |
1,427 |
$65K |
| G0483 |
Drug test def 22+ classes |
406 |
366 |
$65K |
| 87804 |
|
4,497 |
2,200 |
$61K |
| 96360 |
|
674 |
462 |
$59K |
| 82607 |
|
4,487 |
4,159 |
$50K |
| 72100 |
|
847 |
723 |
$41K |
| 93306 |
|
162 |
144 |
$41K |
| 80048 |
|
8,062 |
3,909 |
$39K |
| 97161 |
|
800 |
589 |
$39K |
| 87651 |
|
1,988 |
1,880 |
$39K |
| 83036 |
|
5,343 |
4,946 |
$37K |
| 97140 |
|
1,847 |
644 |
$33K |
| 73630 |
|
891 |
803 |
$33K |
| 76705 |
|
179 |
169 |
$28K |
| 83880 |
|
1,572 |
1,229 |
$28K |
| 87426 |
|
790 |
701 |
$26K |
| 94640 |
|
558 |
422 |
$26K |
| 73562 |
|
579 |
510 |
$26K |
| 73130 |
|
672 |
617 |
$26K |
| 84484 |
|
3,998 |
2,860 |
$24K |
| 73030 |
|
634 |
527 |
$23K |
| 73610 |
|
590 |
517 |
$22K |
| 80307 |
|
506 |
456 |
$20K |
| 81025 |
|
3,727 |
3,364 |
$19K |
| 87086 |
|
4,772 |
2,992 |
$18K |
| 87070 |
|
2,574 |
2,031 |
$18K |
| 81001 |
|
7,353 |
6,367 |
$18K |
| 84439 |
|
2,424 |
2,255 |
$17K |
| 85027 |
|
3,606 |
3,009 |
$16K |
| 80306 |
|
1,524 |
1,336 |
$16K |
| 76830 |
|
116 |
109 |
$15K |
| J1885 |
Ketorolac tromethamine inj |
3,988 |
3,499 |
$14K |
| 83690 |
|
2,683 |
2,344 |
$13K |
| 82728 |
|
1,229 |
1,116 |
$13K |
| 83735 |
|
2,663 |
2,152 |
$12K |
| 87801 |
|
336 |
318 |
$11K |
| 87186 |
|
1,483 |
1,333 |
$10K |
| J3490 |
Drugs unclassified injection |
2,275 |
1,174 |
$10K |
| 81003 |
|
6,220 |
5,644 |
$10K |
| 85610 |
|
3,490 |
2,502 |
$9K |
| 73110 |
|
220 |
201 |
$9K |
| 97162 |
|
123 |
114 |
$8K |
| 0012A |
|
364 |
361 |
$7K |
| 76700 |
|
50 |
47 |
$7K |
| 0011A |
|
392 |
384 |
$6K |
| 74019 |
|
92 |
80 |
$6K |
| 87040 |
|
1,098 |
618 |
$6K |
| 83605 |
|
896 |
684 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
995 |
804 |
$6K |
| 84703 |
|
873 |
772 |
$5K |
| 85730 |
|
1,666 |
1,412 |
$5K |
| 83540 |
|
1,069 |
993 |
$5K |
| 71275 |
|
17 |
13 |
$5K |
| 82043 |
|
1,091 |
1,009 |
$5K |
| 85007 |
|
2,067 |
1,551 |
$5K |
| 82570 |
|
1,124 |
1,057 |
$4K |
| 97750 |
|
201 |
155 |
$4K |
| J2405 |
Ondansetron hcl injection |
2,605 |
2,182 |
$4K |
| 72125 |
|
12 |
12 |
$4K |
| 74022 |
|
48 |
42 |
$3K |
| 83550 |
|
491 |
468 |
$3K |
| 87633 |
|
14 |
13 |
$3K |
| 93971 |
|
26 |
26 |
$3K |
| 87077 |
|
360 |
320 |
$3K |
| 87807 |
|
301 |
246 |
$2K |
| 82150 |
|
538 |
477 |
$2K |
| 71250 |
|
13 |
12 |
$2K |
| 87088 |
|
449 |
380 |
$2K |
| 84403 |
|
112 |
104 |
$2K |
| 72040 |
|
54 |
49 |
$2K |
| J2270 |
Morphine sulfate injection |
662 |
522 |
$2K |
| J2930 |
Methylprednisolone injection |
267 |
208 |
$2K |
| 76536 |
|
15 |
14 |
$2K |
| 82803 |
|
124 |
97 |
$2K |
| G0103 |
Psa screening |
196 |
157 |
$2K |
| 36600 |
|
74 |
56 |
$2K |
| 94060 |
|
15 |
12 |
$1K |
| 72110 |
|
13 |
12 |
$1K |
| 85652 |
|
520 |
460 |
$1K |
| 86140 |
|
292 |
263 |
$1K |
| 74018 |
|
28 |
24 |
$1K |
| 85379 |
|
177 |
142 |
$1K |
| G0283 |
Elec stim other than wound |
165 |
42 |
$949.92 |
| 84702 |
|
94 |
79 |
$941.55 |
| 86038 |
|
92 |
88 |
$879.85 |
| 80076 |
|
97 |
86 |
$877.89 |
| 90715 |
|
24 |
24 |
$802.98 |
| 84145 |
|
53 |
49 |
$774.13 |
| 72072 |
|
34 |
12 |
$739.92 |
| 83525 |
|
74 |
69 |
$666.29 |
| 82962 |
|
311 |
214 |
$626.60 |
| 82550 |
|
131 |
101 |
$611.46 |
| 84481 |
|
45 |
40 |
$600.89 |
| J1040 |
Methylprednisolone 80 mg inj |
30 |
27 |
$597.83 |
| 90471 |
|
42 |
37 |
$593.10 |
| 87522 |
Neg quan hep c or qual rna |
17 |
16 |
$536.71 |
| 80051 |
|
168 |
59 |
$450.24 |
| 80074 |
|
13 |
12 |
$442.00 |
| 97035 |
|
47 |
13 |
$400.46 |
| 96376 |
|
34 |
27 |
$380.82 |
| J1100 |
Dexamethasone sodium phos |
150 |
144 |
$372.13 |
| 85018 |
|
34 |
15 |
$359.18 |
| 82375 |
|
30 |
28 |
$350.42 |
| J2360 |
Orphenadrine injection |
16 |
15 |
$315.32 |
| 97010 |
|
122 |
45 |
$300.46 |
| 73502 |
|
16 |
13 |
$272.75 |
| 86008 |
|
14 |
14 |
$262.95 |
| 87075 |
|
41 |
37 |
$255.54 |
| 86200 |
|
24 |
24 |
$246.31 |
| 87491 |
|
13 |
12 |
$240.03 |
| 82565 |
|
67 |
59 |
$229.74 |
| 87581 |
|
14 |
13 |
$223.09 |
| 87486 |
|
14 |
13 |
$223.09 |
| 86308 |
|
46 |
42 |
$212.83 |
| 86430 |
|
36 |
36 |
$186.65 |
| 82947 |
|
61 |
53 |
$182.50 |
| 82746 |
|
12 |
12 |
$173.61 |
| 86060 |
|
12 |
12 |
$166.87 |
| 87591 |
|
13 |
12 |
$166.68 |
| 87205 |
|
62 |
51 |
$157.31 |
| J2919 |
Inj, methylpred sod succ 5mg |
13 |
12 |
$152.80 |
| 84436 |
|
27 |
25 |
$141.59 |
| 83655 |
|
12 |
12 |
$126.38 |
| 0064A |
|
15 |
15 |
$124.40 |
| 87350 |
|
13 |
12 |
$107.02 |
| 86702 |
|
13 |
12 |
$104.49 |
| J2765 |
Metoclopramide hcl injection |
42 |
40 |
$87.28 |
| 84520 |
|
46 |
39 |
$83.66 |
| 86580 |
|
13 |
13 |
$75.58 |
| 86701 |
|
13 |
12 |
$68.69 |
| 84550 |
|
14 |
14 |
$51.02 |
| J2550 |
Promethazine hcl injection |
18 |
12 |
$31.47 |
| 85014 |
|
19 |
17 |
$28.92 |
| J8499 |
Oral prescrip drug non chemo |
52 |
43 |
$15.12 |
| J1200 |
Diphenhydramine hcl injectio |
12 |
12 |
$14.27 |
| A9270 |
Non-covered item or service |
1,212 |
535 |
$0.00 |