| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
10,231 |
9,354 |
$2.09M |
| 99283 |
|
11,705 |
10,949 |
$1.61M |
| 42820 |
|
125 |
125 |
$454K |
| 96374 |
|
2,101 |
2,049 |
$268K |
| 69436 |
|
156 |
155 |
$140K |
| 99213 |
|
1,127 |
1,017 |
$75K |
| 92507 |
|
1,001 |
342 |
$68K |
| 99214 |
|
844 |
807 |
$65K |
| 99203 |
|
512 |
512 |
$45K |
| 80053 |
|
4,671 |
4,495 |
$43K |
| 85025 |
|
6,227 |
6,008 |
$41K |
| 96375 |
|
742 |
723 |
$31K |
| 99282 |
|
351 |
337 |
$31K |
| 71045 |
|
2,278 |
2,214 |
$26K |
| 87635 |
|
524 |
517 |
$26K |
| 99281 |
|
408 |
403 |
$22K |
| 96361 |
|
588 |
572 |
$21K |
| 97530 |
|
359 |
114 |
$20K |
| 87631 |
|
134 |
133 |
$17K |
| 36415 |
|
4,161 |
3,979 |
$11K |
| 88304 |
|
252 |
252 |
$11K |
| 99204 |
|
62 |
62 |
$9K |
| 43239 |
|
32 |
25 |
$8K |
| 84443 |
|
540 |
536 |
$8K |
| 87804 |
|
272 |
270 |
$8K |
| 81001 |
|
2,810 |
2,765 |
$7K |
| 93005 |
|
1,201 |
1,180 |
$6K |
| 87502 |
|
74 |
74 |
$6K |
| 45380 |
|
15 |
12 |
$6K |
| 87400 |
|
470 |
467 |
$6K |
| 87880 |
|
358 |
355 |
$5K |
| 96372 |
|
81 |
80 |
$5K |
| 80061 |
|
380 |
380 |
$4K |
| 87798 |
|
122 |
121 |
$4K |
| 87086 |
|
532 |
510 |
$4K |
| 84703 |
|
509 |
501 |
$3K |
| 87426 |
|
103 |
102 |
$3K |
| 99212 |
|
70 |
67 |
$3K |
| 62323 |
|
14 |
14 |
$3K |
| 87811 |
|
61 |
61 |
$2K |
| 71046 |
|
125 |
123 |
$2K |
| 97110 |
|
45 |
13 |
$2K |
| 84484 |
|
134 |
128 |
$2K |
| 88305 |
|
13 |
13 |
$1K |
| 99285 |
|
14 |
12 |
$1K |
| 84436 |
|
199 |
199 |
$1K |
| 87591 |
|
38 |
38 |
$1K |
| 87491 |
|
38 |
38 |
$1K |
| 84479 |
|
199 |
199 |
$1K |
| 76805 |
|
13 |
13 |
$1K |
| 83036 |
|
137 |
137 |
$1K |
| 82306 |
|
51 |
51 |
$867.72 |
| 80081 |
|
12 |
12 |
$803.52 |
| J3010 |
Fentanyl citrate injection |
920 |
916 |
$761.37 |
| 73130 |
|
15 |
15 |
$584.33 |
| 80048 |
|
76 |
75 |
$523.10 |
| 82550 |
|
65 |
65 |
$353.19 |
| 90471 |
|
17 |
17 |
$311.78 |
| 87807 |
|
24 |
24 |
$267.95 |
| 86140 |
|
43 |
42 |
$184.79 |
| 94640 |
|
12 |
12 |
$182.16 |
| 83690 |
|
28 |
26 |
$165.51 |
| J2405 |
Ondansetron hcl injection |
376 |
356 |
$135.64 |
| 83540 |
|
12 |
12 |
$81.24 |
| J3490 |
Drugs unclassified injection |
237 |
236 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
791 |
744 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
161 |
161 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
193 |
186 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
12 |
12 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
345 |
329 |
$0.00 |
| J2001 |
Lidocaine injection |
213 |
204 |
$0.00 |
| 90686 |
|
15 |
15 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
41 |
41 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
12 |
12 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
43 |
43 |
$0.00 |
| J2270 |
Morphine sulfate injection |
12 |
12 |
$0.00 |
| J7030 |
Normal saline solution infus |
12 |
12 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
12 |
12 |
$0.00 |