| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
5,021 |
4,684 |
$1.49M |
| 99285 |
|
3,012 |
2,697 |
$1.01M |
| 99283 |
|
4,651 |
4,396 |
$654K |
| 96374 |
|
1,570 |
1,199 |
$132K |
| 99282 |
|
955 |
883 |
$90K |
| 96372 |
|
2,223 |
1,646 |
$85K |
| 87635 |
|
1,801 |
1,677 |
$60K |
| 76805 |
|
634 |
552 |
$58K |
| 80053 |
|
7,720 |
6,861 |
$58K |
| 80050 |
|
1,414 |
1,321 |
$55K |
| 74176 |
|
247 |
224 |
$55K |
| 93005 |
|
1,964 |
1,751 |
$54K |
| 87661 |
|
1,621 |
1,439 |
$48K |
| 87491 |
|
1,609 |
1,429 |
$48K |
| 87591 |
|
1,614 |
1,429 |
$48K |
| 85025 |
|
8,383 |
7,370 |
$47K |
| 96375 |
|
1,014 |
783 |
$41K |
| 71045 |
|
1,201 |
1,075 |
$39K |
| 80061 |
|
3,308 |
3,084 |
$37K |
| 87389 |
|
1,601 |
1,448 |
$31K |
| 96361 |
|
936 |
639 |
$30K |
| 80307 |
|
948 |
816 |
$30K |
| 87400 |
|
3,083 |
1,347 |
$25K |
| 83036 |
|
3,124 |
2,908 |
$25K |
| 70450 |
|
197 |
174 |
$21K |
| 36415 |
|
8,574 |
6,923 |
$21K |
| 82306 |
|
825 |
769 |
$20K |
| 86780 |
|
1,683 |
1,532 |
$19K |
| 71046 |
|
502 |
470 |
$18K |
| 76856 |
|
190 |
178 |
$16K |
| 84443 |
|
1,099 |
1,006 |
$15K |
| 76830 |
|
154 |
148 |
$14K |
| 87651 |
|
439 |
418 |
$13K |
| 87340 |
|
1,463 |
1,321 |
$12K |
| G0480 |
Drug test def 1-7 classes |
163 |
114 |
$11K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
129 |
111 |
$11K |
| 96365 |
|
144 |
102 |
$11K |
| J3410 |
Hydroxyzine hcl injection |
177 |
155 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
1,144 |
952 |
$10K |
| 87653 |
|
327 |
301 |
$10K |
| 86803 |
|
853 |
761 |
$10K |
| 87086 |
|
1,269 |
1,130 |
$9K |
| 85027 |
|
1,331 |
1,157 |
$7K |
| 81025 |
|
1,055 |
925 |
$7K |
| 87088 |
|
893 |
788 |
$6K |
| 84484 |
|
842 |
691 |
$5K |
| 69436 |
|
12 |
12 |
$5K |
| 96360 |
|
44 |
39 |
$4K |
| J1100 |
Dexamethasone sodium phos |
668 |
596 |
$4K |
| 83880 |
|
222 |
197 |
$4K |
| 86850 |
|
1,276 |
1,071 |
$4K |
| 86762 |
|
344 |
304 |
$4K |
| 71250 |
|
30 |
26 |
$4K |
| 81001 |
|
1,749 |
1,508 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
81 |
73 |
$4K |
| 83021 |
|
204 |
183 |
$3K |
| 86787 |
|
288 |
253 |
$3K |
| 81003 |
|
1,821 |
1,575 |
$3K |
| 86702 |
|
251 |
221 |
$3K |
| 83020 |
|
207 |
183 |
$2K |
| 83690 |
|
510 |
471 |
$2K |
| 86003 |
|
148 |
58 |
$2K |
| 83735 |
|
628 |
556 |
$2K |
| 86900 |
|
1,278 |
1,072 |
$2K |
| 86901 |
|
1,287 |
1,072 |
$2K |
| 59025 |
|
18 |
14 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
890 |
582 |
$2K |
| J2060 |
Lorazepam injection |
309 |
265 |
$2K |
| 80048 |
|
301 |
278 |
$2K |
| 82950 |
|
402 |
363 |
$2K |
| J0780 |
Prochlorperazine injection |
133 |
111 |
$2K |
| 86701 |
|
250 |
221 |
$2K |
| C1769 |
Guide wire |
15 |
15 |
$2K |
| J2405 |
Ondansetron hcl injection |
723 |
510 |
$1K |
| 76819 |
|
17 |
14 |
$1K |
| 87430 |
|
79 |
77 |
$1K |
| 87807 |
|
92 |
90 |
$1K |
| 99214 |
|
18 |
17 |
$1K |
| 77067 |
|
12 |
12 |
$883.56 |
| 76937 |
|
15 |
12 |
$867.53 |
| 86592 |
|
252 |
221 |
$829.74 |
| 99211 |
|
27 |
25 |
$810.00 |
| 82550 |
|
206 |
177 |
$756.97 |
| J1170 |
Hydromorphone injection |
128 |
109 |
$750.84 |
| C1887 |
Catheter, guiding |
37 |
37 |
$714.70 |
| 82553 |
|
159 |
133 |
$684.21 |
| C1894 |
Intro/sheath, non-laser |
15 |
15 |
$681.35 |
| 99213 |
|
18 |
16 |
$646.00 |
| 85610 |
|
216 |
195 |
$637.17 |
| J2250 |
Inj midazolam hydrochloride |
716 |
539 |
$603.46 |
| J3010 |
Fentanyl citrate injection |
868 |
672 |
$554.38 |
| J7120 |
Ringers lactate infusion |
72 |
40 |
$495.62 |
| J1644 |
Inj heparin sodium per 1000u |
52 |
26 |
$438.12 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
581 |
280 |
$404.07 |
| 82105 |
|
27 |
25 |
$402.48 |
| J1200 |
Diphenhydramine hcl injectio |
45 |
41 |
$384.32 |
| 77063 |
|
12 |
12 |
$346.92 |
| 85730 |
|
83 |
72 |
$325.74 |
| 82150 |
|
68 |
64 |
$324.00 |
| 80055 |
|
15 |
13 |
$289.44 |
| 82728 |
|
24 |
24 |
$286.23 |
| 87798 |
|
20 |
14 |
$280.96 |
| 87486 |
|
14 |
14 |
$280.72 |
| 87581 |
|
14 |
14 |
$280.72 |
| 87081 |
|
49 |
43 |
$271.83 |
| 85384 |
|
36 |
33 |
$254.66 |
| 99153 |
Mod sedat endo service >5yrs |
17 |
12 |
$203.54 |
| 83550 |
|
25 |
25 |
$192.28 |
| 80179 |
|
15 |
14 |
$186.40 |
| 99152 |
|
47 |
40 |
$185.04 |
| 85379 |
|
27 |
25 |
$173.10 |
| 84439 |
|
20 |
19 |
$171.38 |
| J0690 |
Cefazolin sodium injection |
679 |
318 |
$151.33 |
| 83540 |
|
25 |
25 |
$142.34 |
| 85007 |
|
55 |
52 |
$126.17 |
| 82785 |
|
23 |
12 |
$115.22 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
303 |
231 |
$63.31 |
| 87633 |
|
17 |
14 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
26 |
14 |
$0.00 |