| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
36,928 |
29,149 |
$6.82M |
| 99284 |
|
21,595 |
16,816 |
$5.18M |
| 80053 |
|
19,866 |
18,190 |
$748K |
| 99285 |
|
1,415 |
1,082 |
$501K |
| 96374 |
|
5,815 |
5,300 |
$305K |
| 87631 |
|
2,265 |
2,102 |
$296K |
| 99282 |
|
2,071 |
1,799 |
$220K |
| 74177 |
|
522 |
489 |
$208K |
| 85025 |
|
19,407 |
17,612 |
$187K |
| 96375 |
|
3,075 |
2,737 |
$176K |
| 36415 |
|
22,961 |
20,559 |
$158K |
| 99281 |
|
642 |
607 |
$122K |
| 87635 |
|
2,489 |
2,386 |
$117K |
| 93005 |
|
3,446 |
2,903 |
$115K |
| 81001 |
|
10,572 |
9,733 |
$115K |
| 99214 |
|
5,379 |
4,613 |
$84K |
| 99213 |
|
4,733 |
4,214 |
$84K |
| 71046 |
|
1,241 |
1,015 |
$62K |
| G0480 |
Drug test def 1-7 classes |
206 |
184 |
$51K |
| 84443 |
|
1,830 |
1,719 |
$50K |
| 97110 |
|
1,027 |
471 |
$47K |
| 80061 |
|
1,894 |
1,779 |
$43K |
| 80307 |
|
515 |
463 |
$40K |
| 83036 |
|
2,116 |
1,996 |
$38K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,583 |
1,450 |
$35K |
| 96372 |
|
957 |
865 |
$34K |
| 0012A |
|
1,529 |
1,329 |
$31K |
| 84484 |
|
1,351 |
1,017 |
$27K |
| 0011A |
|
1,640 |
1,387 |
$25K |
| G0481 |
Drug test def 8-14 classes |
286 |
278 |
$24K |
| 80048 |
|
617 |
557 |
$24K |
| 70450 |
|
145 |
124 |
$23K |
| 71045 |
|
483 |
419 |
$22K |
| 0001A |
|
539 |
512 |
$17K |
| 87651 |
|
226 |
213 |
$16K |
| J7030 |
Normal saline solution infus |
5,945 |
5,322 |
$15K |
| 0002A |
|
461 |
443 |
$15K |
| 83690 |
|
1,508 |
1,365 |
$15K |
| 93010 |
|
1,874 |
1,684 |
$11K |
| 87086 |
|
537 |
492 |
$10K |
| 96365 |
|
56 |
52 |
$10K |
| J1885 |
Ketorolac tromethamine inj |
2,695 |
2,468 |
$10K |
| J2405 |
Ondansetron hcl injection |
1,662 |
1,512 |
$7K |
| 90686 |
|
553 |
530 |
$7K |
| 99394 |
|
79 |
79 |
$7K |
| 81025 |
|
471 |
444 |
$5K |
| 99203 |
|
160 |
155 |
$5K |
| 83735 |
|
252 |
231 |
$5K |
| 86803 |
|
102 |
99 |
$4K |
| 80306 |
|
41 |
38 |
$3K |
| 87389 |
|
44 |
44 |
$3K |
| 85027 |
|
196 |
186 |
$3K |
| 0004A |
|
97 |
89 |
$3K |
| 0064A |
|
82 |
75 |
$2K |
| 90471 |
|
132 |
127 |
$2K |
| 87502 |
|
43 |
38 |
$2K |
| 85730 |
|
60 |
53 |
$2K |
| 84145 |
|
12 |
12 |
$2K |
| 96361 |
|
124 |
112 |
$1K |
| 99391 |
|
14 |
12 |
$1K |
| 87077 |
|
33 |
25 |
$689.65 |
| 96160 |
|
166 |
164 |
$491.18 |
| 0071A |
|
12 |
12 |
$444.80 |
| J0696 |
Ceftriaxone sodium injection |
15 |
12 |
$405.93 |
| 99204 |
|
16 |
15 |
$388.92 |
| J2270 |
Morphine sulfate injection |
167 |
147 |
$386.72 |
| 87798 |
|
34 |
32 |
$385.80 |
| 83718 |
|
27 |
27 |
$351.24 |
| 87880 |
|
88 |
82 |
$346.90 |
| 84478 |
|
27 |
27 |
$323.19 |
| 90715 |
|
15 |
15 |
$306.52 |
| 99393 |
|
13 |
12 |
$304.73 |
| 87081 |
|
70 |
64 |
$284.96 |
| 83605 |
|
39 |
33 |
$193.35 |
| J7120 |
Ringers lactate infusion |
141 |
120 |
$173.02 |
| 87070 |
|
13 |
13 |
$161.02 |
| G0444 |
Depression screen annual |
12 |
12 |
$157.68 |
| 82248 |
|
13 |
13 |
$138.36 |
| 94640 |
|
29 |
27 |
$128.80 |
| 82553 |
|
43 |
37 |
$127.28 |
| J1790 |
Droperidol injection |
29 |
26 |
$108.32 |
| J3490 |
Drugs unclassified injection |
18 |
13 |
$107.95 |
| 82550 |
|
43 |
37 |
$96.35 |
| 85379 |
|
15 |
13 |
$96.14 |
| 90651 |
|
17 |
17 |
$91.74 |
| 85610 |
|
93 |
81 |
$82.20 |
| 82306 |
|
13 |
12 |
$79.80 |
| 82728 |
|
13 |
12 |
$71.06 |
| 96127 |
|
13 |
12 |
$69.60 |
| 99173 |
|
101 |
98 |
$68.38 |
| P9604 |
One-way allow prorated trip |
85 |
50 |
$59.38 |
| 81003 |
|
13 |
13 |
$52.00 |
| 82607 |
|
13 |
12 |
$46.36 |
| 82746 |
|
13 |
12 |
$44.84 |
| 82150 |
|
16 |
14 |
$43.12 |
| 83540 |
|
13 |
12 |
$38.81 |
| J1200 |
Diphenhydramine hcl injectio |
12 |
12 |
$34.30 |
| 99442 |
|
50 |
41 |
$27.20 |
| 84703 |
|
28 |
25 |
$10.52 |
| J1100 |
Dexamethasone sodium phos |
12 |
12 |
$8.43 |
| 99212 |
|
16 |
12 |
$0.17 |
| 99406 |
|
16 |
13 |
$0.00 |