| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
1,532 |
1,383 |
$349K |
| 99285 |
|
642 |
590 |
$206K |
| 99283 |
|
997 |
932 |
$151K |
| 96372 |
|
915 |
815 |
$48K |
| 96374 |
|
410 |
354 |
$45K |
| G0378 |
Hospital observation per hr |
315 |
232 |
$43K |
| 96365 |
|
272 |
252 |
$29K |
| 71045 |
|
514 |
485 |
$25K |
| 96361 |
|
341 |
258 |
$19K |
| 87426 |
|
730 |
697 |
$17K |
| 87804 |
|
679 |
654 |
$15K |
| 70450 |
|
270 |
253 |
$15K |
| 96375 |
|
363 |
300 |
$14K |
| 94640 |
|
146 |
126 |
$13K |
| 93005 |
|
409 |
382 |
$12K |
| 80053 |
|
1,656 |
1,351 |
$10K |
| 86900 |
|
181 |
162 |
$10K |
| 76817 |
|
208 |
183 |
$9K |
| G0480 |
Drug test def 1-7 classes |
125 |
112 |
$9K |
| 76815 |
|
187 |
167 |
$8K |
| 36415 |
|
1,334 |
1,123 |
$7K |
| 59025 |
|
111 |
73 |
$7K |
| 74176 |
|
53 |
51 |
$6K |
| 85025 |
|
1,044 |
894 |
$5K |
| 83880 |
|
223 |
202 |
$5K |
| 87430 |
|
385 |
378 |
$5K |
| 96366 |
|
57 |
51 |
$4K |
| 71046 |
|
108 |
101 |
$4K |
| 80306 |
|
360 |
326 |
$4K |
| 96360 |
|
33 |
30 |
$4K |
| 85027 |
|
879 |
725 |
$3K |
| 86901 |
|
181 |
162 |
$3K |
| 77067 |
|
72 |
71 |
$3K |
| 84484 |
|
306 |
273 |
$3K |
| 74177 |
|
16 |
16 |
$3K |
| 99282 |
|
50 |
49 |
$2K |
| 83735 |
|
496 |
454 |
$2K |
| 87420 |
|
182 |
175 |
$2K |
| 81001 |
|
887 |
781 |
$2K |
| 76805 |
|
34 |
34 |
$2K |
| 82306 |
|
86 |
84 |
$2K |
| 84703 |
|
314 |
298 |
$2K |
| 82731 |
|
48 |
37 |
$1K |
| 86850 |
|
51 |
49 |
$1K |
| 84443 |
|
123 |
120 |
$1K |
| 83690 |
|
243 |
226 |
$1K |
| 99212 |
|
100 |
80 |
$1K |
| 85730 |
|
246 |
226 |
$828.16 |
| 87040 |
|
118 |
106 |
$797.17 |
| 80048 |
|
192 |
169 |
$783.52 |
| 87086 |
|
152 |
133 |
$648.43 |
| 82962 |
|
229 |
165 |
$621.96 |
| 85610 |
|
262 |
241 |
$614.39 |
| 83036 |
|
122 |
115 |
$605.08 |
| 76830 |
|
14 |
14 |
$467.99 |
| 87210 |
|
164 |
133 |
$467.67 |
| 83605 |
|
60 |
53 |
$465.46 |
| 81025 |
|
62 |
60 |
$451.58 |
| 76856 |
|
13 |
13 |
$403.73 |
| 81003 |
|
333 |
308 |
$363.84 |
| 84702 |
|
44 |
30 |
$271.27 |
| 82607 |
|
28 |
27 |
$225.21 |
| 82570 |
|
80 |
72 |
$179.77 |
| 84156 |
|
87 |
74 |
$140.58 |
| 86140 |
|
44 |
40 |
$133.11 |
| 80061 |
|
12 |
12 |
$108.71 |
| 85384 |
|
27 |
24 |
$65.67 |
| 85651 |
|
18 |
17 |
$28.90 |
| J1885 |
Ketorolac tromethamine inj |
521 |
469 |
$16.52 |
| J7030 |
Normal saline solution infus |
455 |
342 |
$15.84 |
| J0696 |
Ceftriaxone sodium injection |
285 |
268 |
$9.54 |
| J1100 |
Dexamethasone sodium phos |
242 |
230 |
$2.60 |
| J2270 |
Morphine sulfate injection |
82 |
73 |
$2.46 |
| J1200 |
Diphenhydramine hcl injectio |
88 |
78 |
$2.32 |
| J2405 |
Ondansetron hcl injection |
336 |
272 |
$0.36 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
75 |
74 |
$0.00 |
| J2550 |
Promethazine hcl injection |
15 |
12 |
$0.00 |
| 99238 |
|
14 |
14 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
32 |
31 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
12 |
12 |
$0.00 |
| 77063 |
|
42 |
42 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
96 |
88 |
$0.00 |
| J2060 |
Lorazepam injection |
15 |
12 |
$0.00 |
| J2360 |
Orphenadrine injection |
25 |
25 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
62 |
52 |
$0.00 |
| 96376 |
|
14 |
13 |
$0.00 |
| 94660 |
|
72 |
68 |
$0.00 |
| G0379 |
Direct refer hospital observ |
31 |
19 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
18 |
12 |
$0.00 |