| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
23,237 |
19,501 |
$2.01M |
| 99281 |
|
4,358 |
3,855 |
$857K |
| 99201 |
|
2,581 |
1,948 |
$331K |
| 97110 |
|
2,822 |
1,010 |
$323K |
| 99202 |
|
1,641 |
1,168 |
$298K |
| 96374 |
|
1,668 |
1,489 |
$269K |
| 97750 |
|
1,902 |
1,052 |
$214K |
| 97139 |
|
2,870 |
926 |
$174K |
| 96375 |
|
1,330 |
1,178 |
$158K |
| 77067 |
|
490 |
490 |
$154K |
| 96361 |
|
1,489 |
1,357 |
$117K |
| J3490 |
Drugs unclassified injection |
7,177 |
4,534 |
$108K |
| 93005 |
|
1,389 |
1,325 |
$103K |
| 99284 |
|
1,038 |
1,008 |
$88K |
| 96372 |
|
1,033 |
947 |
$81K |
| 74177 |
|
82 |
81 |
$60K |
| 96365 |
|
153 |
143 |
$36K |
| 71045 |
|
818 |
788 |
$32K |
| 80053 |
|
3,190 |
2,922 |
$32K |
| 76856 |
|
171 |
170 |
$32K |
| 87635 |
|
579 |
566 |
$30K |
| J7030 |
Normal saline solution infus |
1,941 |
1,759 |
$29K |
| 93010 |
|
1,991 |
1,854 |
$29K |
| 99070 |
|
1,924 |
1,062 |
$29K |
| 85025 |
|
3,402 |
3,088 |
$25K |
| 71046 |
|
514 |
493 |
$25K |
| Q3014 |
Telehealth facility fee |
309 |
287 |
$23K |
| 73562 |
|
262 |
249 |
$22K |
| 76700 |
|
125 |
125 |
$19K |
| 76830 |
|
42 |
42 |
$13K |
| G0480 |
Drug test def 1-7 classes |
175 |
170 |
$12K |
| 70450 |
|
25 |
24 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
994 |
929 |
$10K |
| 83690 |
|
1,423 |
1,323 |
$9K |
| 73630 |
|
103 |
93 |
$9K |
| 99282 |
|
263 |
258 |
$8K |
| 94640 |
|
165 |
148 |
$7K |
| 84484 |
|
687 |
643 |
$7K |
| J1170 |
Hydromorphone injection |
557 |
457 |
$7K |
| 74176 |
|
14 |
12 |
$6K |
| J2405 |
Ondansetron hcl injection |
882 |
786 |
$6K |
| 81001 |
|
1,489 |
1,398 |
$6K |
| 73110 |
|
52 |
42 |
$5K |
| J3301 |
Triamcinolone acet inj nos |
283 |
269 |
$5K |
| 99203 |
|
60 |
58 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
325 |
275 |
$4K |
| 99214 |
|
344 |
315 |
$4K |
| J1100 |
Dexamethasone sodium phos |
381 |
370 |
$3K |
| J3010 |
Fentanyl citrate injection |
396 |
385 |
$3K |
| 96360 |
|
15 |
14 |
$3K |
| 80305 |
|
261 |
252 |
$3K |
| Z7502 |
|
61 |
59 |
$2K |
| 99213 |
|
106 |
96 |
$2K |
| 73030 |
|
15 |
13 |
$1K |
| 0002A |
|
37 |
37 |
$1K |
| 87426 |
|
36 |
34 |
$1K |
| 81003 |
|
367 |
354 |
$1K |
| 85730 |
|
218 |
213 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
149 |
145 |
$782.59 |
| 87088 |
|
82 |
78 |
$774.41 |
| 85610 |
|
232 |
225 |
$765.90 |
| J0690 |
Cefazolin sodium injection |
57 |
57 |
$749.44 |
| 90756 |
|
16 |
16 |
$719.36 |
| 0001A |
|
25 |
25 |
$625.00 |
| 87880 |
|
40 |
40 |
$437.41 |
| 81025 |
|
132 |
128 |
$426.48 |
| 87086 |
|
57 |
56 |
$383.90 |
| 0011A |
|
14 |
14 |
$350.00 |
| 83605 |
|
28 |
26 |
$286.75 |
| J2060 |
Lorazepam injection |
30 |
26 |
$264.71 |
| J7050 |
Normal saline solution infus |
48 |
41 |
$248.26 |
| 80048 |
|
12 |
12 |
$165.24 |
| J2270 |
Morphine sulfate injection |
12 |
12 |
$150.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
268 |
265 |
$115.92 |
| 87186 |
|
12 |
12 |
$94.73 |
| 82962 |
|
13 |
13 |
$34.28 |
| 90833 |
|
13 |
13 |
$0.00 |