| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
28,925 |
26,429 |
$1.13M |
| 70450 |
|
3,320 |
3,193 |
$278K |
| 74176 |
|
2,646 |
2,543 |
$237K |
| 80307 |
|
5,420 |
4,987 |
$195K |
| 96374 |
|
3,552 |
3,360 |
$155K |
| Z7502 |
|
3,300 |
3,175 |
$121K |
| 99281 |
|
2,399 |
2,066 |
$109K |
| 93005 |
|
5,241 |
4,915 |
$90K |
| 96372 |
|
4,110 |
3,884 |
$84K |
| 80053 |
|
10,366 |
9,676 |
$81K |
| 96361 |
|
3,346 |
3,157 |
$79K |
| 99285 |
|
365 |
357 |
$73K |
| 96375 |
|
2,566 |
2,404 |
$73K |
| 96360 |
|
1,382 |
1,349 |
$62K |
| 99199 |
|
1,573 |
1,470 |
$60K |
| 99284 |
|
927 |
879 |
$57K |
| 85025 |
|
10,541 |
9,682 |
$55K |
| 94642 |
|
622 |
581 |
$52K |
| J3490 |
Drugs unclassified injection |
11,656 |
6,798 |
$51K |
| 71045 |
|
4,882 |
4,683 |
$51K |
| 96365 |
|
955 |
912 |
$50K |
| 0270 |
|
17,055 |
13,479 |
$44K |
| 99283 |
|
653 |
604 |
$37K |
| Z7610 |
|
2,441 |
2,128 |
$32K |
| 72131 |
|
257 |
251 |
$26K |
| 0636 |
|
2,280 |
2,109 |
$26K |
| 87635 |
|
882 |
853 |
$23K |
| 0250 |
|
4,349 |
3,948 |
$22K |
| 84484 |
|
3,416 |
3,134 |
$22K |
| 72125 |
|
183 |
178 |
$22K |
| 0272 |
|
3,501 |
3,298 |
$19K |
| 81025 |
|
5,143 |
4,935 |
$19K |
| 0360 |
|
270 |
225 |
$17K |
| 83880 |
|
1,030 |
965 |
$17K |
| 83690 |
|
3,240 |
3,111 |
$16K |
| 85730 |
|
3,867 |
3,747 |
$15K |
| 87086 |
|
2,771 |
2,667 |
$14K |
| 87426 |
|
947 |
907 |
$14K |
| J1885 |
Ketorolac tromethamine inj |
3,265 |
3,083 |
$13K |
| 81001 |
|
5,055 |
4,852 |
$12K |
| 87040 |
|
926 |
888 |
$10K |
| 85610 |
|
4,011 |
3,879 |
$10K |
| J2405 |
Ondansetron hcl injection |
2,095 |
1,994 |
$7K |
| 0710 |
|
666 |
639 |
$7K |
| 99282 |
|
185 |
173 |
$6K |
| 83605 |
|
715 |
676 |
$5K |
| 80048 |
|
748 |
682 |
$5K |
| 71046 |
|
327 |
315 |
$5K |
| 87077 |
|
951 |
922 |
$5K |
| 90715 |
|
166 |
164 |
$5K |
| 81003 |
|
2,947 |
2,865 |
$4K |
| 43239 |
|
13 |
13 |
$4K |
| 87186 |
|
678 |
656 |
$4K |
| 80320 |
|
1,827 |
1,699 |
$4K |
| 96366 |
|
60 |
57 |
$4K |
| J2270 |
Morphine sulfate injection |
674 |
607 |
$4K |
| 82948 |
|
1,247 |
995 |
$3K |
| 84703 |
|
502 |
490 |
$2K |
| 70486 |
|
24 |
24 |
$2K |
| 73130 |
|
117 |
113 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
519 |
493 |
$2K |
| 86328 |
|
72 |
66 |
$2K |
| 85007 |
|
691 |
654 |
$1K |
| 94760 |
|
217 |
187 |
$1K |
| 86769 |
|
79 |
72 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
369 |
355 |
$1K |
| 80329 |
|
317 |
297 |
$1K |
| 85027 |
|
279 |
254 |
$1K |
| 73630 |
|
49 |
49 |
$868.04 |
| J2930 |
Methylprednisolone injection |
85 |
83 |
$813.66 |
| A0429 |
Bls-emergency |
20 |
12 |
$813.21 |
| 90471 |
|
147 |
146 |
$807.90 |
| G0480 |
Drug test def 1-7 classes |
15 |
13 |
$795.18 |
| 36415 |
|
1,973 |
1,755 |
$699.52 |
| 82553 |
|
101 |
92 |
$639.43 |
| 84443 |
|
72 |
70 |
$629.96 |
| 96368 |
|
40 |
38 |
$614.98 |
| 76705 |
|
13 |
13 |
$612.51 |
| 88305 |
|
57 |
55 |
$604.69 |
| 99070 |
|
167 |
105 |
$594.73 |
| 87807 |
|
104 |
104 |
$524.46 |
| J7040 |
Normal saline solution infus |
153 |
151 |
$500.25 |
| A4649 |
Surgical supplies |
773 |
394 |
$496.71 |
| J7050 |
Normal saline solution infus |
101 |
90 |
$404.92 |
| 73562 |
|
26 |
24 |
$399.61 |
| 80354 |
|
673 |
659 |
$396.51 |
| 73110 |
|
12 |
12 |
$347.72 |
| 82150 |
|
46 |
41 |
$205.41 |
| 0324 |
|
29 |
29 |
$201.61 |
| 83735 |
|
40 |
39 |
$156.29 |
| 85014 |
|
47 |
46 |
$148.01 |
| 73610 |
|
13 |
12 |
$141.81 |
| 85018 |
|
56 |
55 |
$139.72 |
| 87400 |
|
51 |
48 |
$126.66 |
| 88313 |
|
13 |
13 |
$115.66 |
| J1200 |
Diphenhydramine hcl injectio |
30 |
26 |
$112.15 |
| 88312 |
|
13 |
13 |
$98.49 |
| J2919 |
Inj, methylpred sod succ 5mg |
12 |
12 |
$73.19 |
| 84512 |
|
13 |
13 |
$63.46 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
77 |
73 |
$53.14 |
| J1100 |
Dexamethasone sodium phos |
12 |
12 |
$46.16 |
| J7030 |
Normal saline solution infus |
13 |
13 |
$42.90 |
| J2250 |
Inj midazolam hydrochloride |
14 |
14 |
$36.76 |
| A6402 |
Sterile gauze <= 16 sq in |
72 |
69 |
$13.90 |
| A6446 |
Conform band s w>=3" <5"/yd |
12 |
12 |
$0.70 |
| 0301 |
|
13 |
12 |
$0.00 |
| S9445 |
Pt education noc individ |
36 |
27 |
$0.00 |
| 0300 |
|
13 |
12 |
$0.00 |