| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
11,619 |
9,610 |
$474K |
| 92507 |
|
8,091 |
1,602 |
$411K |
| 99284 |
|
6,317 |
4,864 |
$212K |
| 80053 |
|
9,976 |
9,056 |
$104K |
| 0241U |
|
630 |
616 |
$89K |
| 99282 |
|
1,474 |
1,317 |
$62K |
| G0463 |
Hospital outpt clinic visit |
763 |
630 |
$40K |
| 87804 |
|
1,478 |
712 |
$31K |
| 87635 |
|
697 |
601 |
$30K |
| 85027 |
|
2,563 |
2,361 |
$25K |
| 85025 |
|
5,173 |
4,666 |
$23K |
| 96374 |
|
1,066 |
943 |
$23K |
| 93005 |
|
2,083 |
1,819 |
$20K |
| 87637 |
|
125 |
124 |
$17K |
| 87880 |
|
1,313 |
1,258 |
$14K |
| 96375 |
|
332 |
301 |
$13K |
| 96361 |
|
384 |
332 |
$9K |
| 84443 |
|
501 |
489 |
$9K |
| 62323 |
|
70 |
37 |
$9K |
| 82728 |
|
388 |
383 |
$7K |
| 11042 |
|
58 |
36 |
$7K |
| G0378 |
Hospital observation per hr |
73 |
43 |
$6K |
| 99285 |
|
98 |
79 |
$5K |
| 97110 |
|
95 |
27 |
$5K |
| 85007 |
|
1,605 |
1,488 |
$5K |
| 84439 |
|
283 |
278 |
$4K |
| 87632 |
|
29 |
29 |
$4K |
| 84484 |
|
450 |
368 |
$4K |
| 97112 |
|
87 |
27 |
$3K |
| 81001 |
|
941 |
883 |
$3K |
| 71045 |
|
730 |
656 |
$3K |
| 87426 |
|
77 |
71 |
$3K |
| 87807 |
|
109 |
102 |
$2K |
| 97530 |
|
63 |
14 |
$2K |
| 96372 |
|
128 |
114 |
$2K |
| 96365 |
|
32 |
28 |
$2K |
| 83880 |
|
97 |
87 |
$2K |
| 83690 |
|
215 |
200 |
$2K |
| 93296 |
|
80 |
78 |
$1K |
| 96360 |
|
25 |
24 |
$1K |
| 80307 |
|
19 |
18 |
$1K |
| 70450 |
|
17 |
16 |
$1K |
| 87798 |
|
29 |
29 |
$1K |
| 71046 |
|
85 |
79 |
$1K |
| 94640 |
|
101 |
77 |
$1K |
| 84145 |
|
56 |
48 |
$992.31 |
| 87086 |
|
98 |
89 |
$938.47 |
| 81025 |
|
89 |
85 |
$852.97 |
| 83655 |
|
40 |
40 |
$743.65 |
| 83036 |
|
60 |
59 |
$638.91 |
| 87040 |
|
53 |
51 |
$607.51 |
| 99214 |
|
291 |
134 |
$551.51 |
| 99213 |
|
492 |
248 |
$544.89 |
| 80061 |
|
48 |
46 |
$527.51 |
| 86140 |
|
48 |
43 |
$475.93 |
| 85610 |
|
170 |
144 |
$472.13 |
| 85730 |
|
113 |
103 |
$318.68 |
| 87186 |
|
35 |
33 |
$317.98 |
| 87077 |
|
42 |
40 |
$301.45 |
| 83605 |
|
49 |
47 |
$257.84 |
| 36415 |
|
13,090 |
11,570 |
$255.81 |
| 87486 |
|
29 |
29 |
$255.52 |
| 87581 |
|
29 |
29 |
$255.52 |
| J1885 |
Ketorolac tromethamine inj |
123 |
107 |
$253.46 |
| 83735 |
|
29 |
26 |
$167.62 |
| 94761 |
|
16 |
12 |
$120.74 |
| 82803 |
|
15 |
14 |
$107.30 |
| 99212 |
|
18 |
13 |
$105.20 |
| J7030 |
Normal saline solution infus |
562 |
421 |
$99.83 |
| 87147 |
|
14 |
13 |
$87.55 |
| 93010 |
|
130 |
106 |
$82.92 |
| 81003 |
|
36 |
36 |
$78.46 |
| 87070 |
|
14 |
13 |
$74.52 |
| J3301 |
Triamcinolone acet inj nos |
129 |
122 |
$69.37 |
| J2405 |
Ondansetron hcl injection |
97 |
80 |
$60.95 |
| 87205 |
|
13 |
12 |
$49.51 |
| 82947 |
|
84 |
48 |
$33.03 |
| J3010 |
Fentanyl citrate injection |
70 |
56 |
$31.86 |
| J0696 |
Ceftriaxone sodium injection |
22 |
17 |
$31.09 |
| J1100 |
Dexamethasone sodium phos |
16 |
13 |
$25.75 |
| J2270 |
Morphine sulfate injection |
20 |
14 |
$23.20 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
51 |
48 |
$0.00 |
| 0202U |
|
16 |
16 |
$0.00 |
| A9270 |
Non-covered item or service |
101 |
73 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
15 |
14 |
$0.00 |