| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
19,876 |
18,688 |
$2.88M |
| 99284 |
|
10,859 |
10,184 |
$2.37M |
| 74177 |
|
2,119 |
2,039 |
$1.29M |
| 99285 |
|
2,669 |
2,496 |
$635K |
| 70450 |
|
2,140 |
2,038 |
$496K |
| 97110 |
|
12,851 |
3,605 |
$492K |
| 99282 |
|
4,960 |
4,789 |
$414K |
| 74176 |
|
689 |
661 |
$369K |
| 87428 |
|
6,461 |
6,246 |
$293K |
| 96375 |
|
4,950 |
4,421 |
$233K |
| 99281 |
|
3,822 |
3,662 |
$224K |
| 96365 |
|
3,453 |
2,454 |
$211K |
| 71045 |
|
5,182 |
4,875 |
$203K |
| 96361 |
|
4,129 |
3,595 |
$192K |
| 96374 |
|
5,356 |
4,745 |
$189K |
| 96372 |
|
6,174 |
5,204 |
$154K |
| 71046 |
|
3,127 |
2,971 |
$150K |
| 94640 |
|
2,113 |
1,698 |
$139K |
| 93005 |
|
4,361 |
4,079 |
$129K |
| 80307 |
|
2,742 |
2,563 |
$103K |
| 80053 |
|
11,468 |
10,336 |
$82K |
| 97014 |
|
3,101 |
1,232 |
$78K |
| 85025 |
|
12,904 |
11,388 |
$71K |
| 87651 |
|
4,860 |
4,743 |
$55K |
| 97161 |
|
1,508 |
1,184 |
$52K |
| 74018 |
|
652 |
613 |
$41K |
| 72100 |
|
779 |
756 |
$41K |
| 87426 |
|
1,557 |
1,393 |
$38K |
| 96360 |
|
654 |
623 |
$37K |
| 73630 |
|
698 |
672 |
$35K |
| 96376 |
|
1,033 |
829 |
$32K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,097 |
2,932 |
$31K |
| 72125 |
|
100 |
97 |
$31K |
| 84484 |
|
3,204 |
2,749 |
$30K |
| 73610 |
|
478 |
466 |
$24K |
| 81025 |
|
4,062 |
3,892 |
$20K |
| 73130 |
|
381 |
369 |
$17K |
| 76705 |
|
101 |
97 |
$17K |
| 87804 |
|
2,366 |
2,273 |
$17K |
| 83880 |
|
611 |
548 |
$14K |
| 71250 |
|
51 |
51 |
$13K |
| 81001 |
|
6,850 |
6,385 |
$13K |
| 83690 |
|
2,737 |
2,560 |
$13K |
| 80048 |
|
2,358 |
1,689 |
$12K |
| 71275 |
|
27 |
25 |
$12K |
| 87807 |
|
1,580 |
1,548 |
$12K |
| 73560 |
|
303 |
293 |
$11K |
| 87088 |
|
2,302 |
2,175 |
$11K |
| 87430 |
|
1,409 |
1,371 |
$10K |
| 71260 |
|
28 |
26 |
$10K |
| 73030 |
|
183 |
172 |
$9K |
| 36415 |
|
13,183 |
10,859 |
$9K |
| 97164 |
|
774 |
639 |
$8K |
| 76000 |
|
107 |
89 |
$8K |
| 97162 |
|
252 |
233 |
$8K |
| J0561 |
Penicillin g benzathine inj |
107 |
96 |
$8K |
| 93306 |
|
30 |
25 |
$8K |
| 66984 |
|
14 |
13 |
$7K |
| 87070 |
|
1,212 |
1,179 |
$7K |
| 87040 |
|
578 |
466 |
$6K |
| 73110 |
|
164 |
157 |
$6K |
| 85379 |
|
758 |
729 |
$6K |
| 87186 |
|
1,004 |
958 |
$6K |
| 82962 |
|
2,591 |
1,777 |
$5K |
| 87077 |
|
1,106 |
1,054 |
$5K |
| 83605 |
|
631 |
566 |
$5K |
| 81003 |
|
3,339 |
3,183 |
$5K |
| J7030 |
Normal saline solution infus |
3,504 |
3,105 |
$5K |
| 83735 |
|
1,358 |
1,002 |
$5K |
| 97530 |
|
295 |
114 |
$4K |
| 96366 |
|
134 |
80 |
$4K |
| 87635 |
|
166 |
160 |
$4K |
| 99291 |
|
13 |
13 |
$3K |
| 84443 |
|
196 |
187 |
$3K |
| J2270 |
Morphine sulfate injection |
2,033 |
1,748 |
$3K |
| 76536 |
|
14 |
13 |
$3K |
| J2930 |
Methylprednisolone injection |
664 |
584 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
3,319 |
3,131 |
$2K |
| 97140 |
|
134 |
64 |
$2K |
| 87880 |
|
360 |
355 |
$2K |
| J2405 |
Ondansetron hcl injection |
5,166 |
4,601 |
$2K |
| 76775 |
|
12 |
12 |
$2K |
| 87491 |
|
90 |
89 |
$1K |
| J1170 |
Hydromorphone injection |
1,148 |
933 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
1,421 |
1,092 |
$1K |
| J2272 |
Inj, morphine (fresenius) |
549 |
497 |
$1K |
| 87591 |
|
90 |
89 |
$1K |
| 86140 |
|
331 |
262 |
$1K |
| 85610 |
|
411 |
380 |
$1K |
| 85027 |
|
301 |
170 |
$950.40 |
| J1100 |
Dexamethasone sodium phos |
1,739 |
1,481 |
$929.05 |
| 73502 |
|
19 |
17 |
$609.15 |
| 73080 |
|
15 |
15 |
$603.42 |
| J1200 |
Diphenhydramine hcl injectio |
935 |
856 |
$389.67 |
| 82550 |
|
161 |
128 |
$387.23 |
| J2550 |
Promethazine hcl injection |
344 |
316 |
$363.47 |
| 97112 |
|
20 |
12 |
$359.58 |
| 80061 |
|
45 |
43 |
$325.51 |
| J2704 |
Inj, propofol, 10 mg |
218 |
141 |
$301.46 |
| 90471 |
|
71 |
64 |
$281.44 |
| J2001 |
Lidocaine injection |
1,915 |
1,357 |
$280.41 |
| 84703 |
|
44 |
44 |
$262.18 |
| J3010 |
Fentanyl citrate injection |
324 |
286 |
$253.12 |
| 87210 |
|
41 |
39 |
$191.13 |
| 85730 |
|
43 |
41 |
$154.40 |
| 84702 |
|
29 |
28 |
$153.17 |
| J0780 |
Prochlorperazine injection |
42 |
40 |
$131.73 |
| 73090 |
|
13 |
13 |
$127.54 |
| J1094 |
Inj dexamethasone acetate |
205 |
199 |
$117.42 |
| J7120 |
Ringers lactate infusion |
85 |
81 |
$103.36 |
| J2250 |
Inj midazolam hydrochloride |
1,089 |
773 |
$91.80 |
| J2360 |
Orphenadrine injection |
26 |
25 |
$67.82 |
| J0690 |
Cefazolin sodium injection |
26 |
24 |
$65.08 |
| 82565 |
|
12 |
12 |
$47.31 |
| J2919 |
Inj, methylpred sod succ 5mg |
33 |
26 |
$40.60 |
| J2060 |
Lorazepam injection |
57 |
27 |
$35.95 |
| J7040 |
Normal saline solution infus |
87 |
54 |
$32.25 |
| J1956 |
Levofloxacin injection |
13 |
12 |
$29.66 |
| C9113 |
Inj pantoprazole sodium, via |
21 |
12 |
$26.08 |
| G1004 |
Cdsm ndsc |
1,702 |
1,447 |
$0.10 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
17 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
14 |
12 |
$0.00 |
| C1780 |
Lens, intraocular (new tech) |
13 |
12 |
$0.00 |