| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
6,705 |
6,476 |
$750K |
| 99214 |
|
8,743 |
8,584 |
$491K |
| 99284 |
|
3,645 |
3,474 |
$445K |
| 99285 |
|
3,548 |
3,272 |
$406K |
| 96361 |
|
789 |
719 |
$150K |
| 99213 |
|
2,035 |
1,995 |
$144K |
| 99215 |
Prolong outpt/office vis |
1,236 |
1,224 |
$105K |
| 80053 |
|
5,756 |
5,103 |
$74K |
| 87635 |
|
1,958 |
1,218 |
$44K |
| 70450 |
|
202 |
186 |
$41K |
| 43239 |
|
83 |
78 |
$35K |
| 85025 |
|
8,862 |
7,788 |
$14K |
| 96413 |
|
147 |
83 |
$13K |
| 74177 |
|
55 |
52 |
$11K |
| 80048 |
|
541 |
485 |
$9K |
| 84484 |
|
841 |
732 |
$9K |
| G0463 |
Hospital outpt clinic visit |
459 |
422 |
$8K |
| 11042 |
|
49 |
24 |
$8K |
| G0378 |
Hospital observation per hr |
158 |
89 |
$8K |
| 87636 |
|
106 |
105 |
$7K |
| 83605 |
|
640 |
545 |
$7K |
| 36415 |
|
2,390 |
2,087 |
$6K |
| 87804 |
|
1,256 |
618 |
$6K |
| 96360 |
|
24 |
24 |
$6K |
| 87651 |
|
321 |
311 |
$4K |
| 45380 |
|
15 |
12 |
$4K |
| 87502 |
|
135 |
135 |
$4K |
| 80307 |
|
212 |
151 |
$4K |
| 84443 |
|
199 |
189 |
$3K |
| 93005 |
|
2,659 |
2,353 |
$3K |
| 82306 |
|
131 |
122 |
$3K |
| 62323 |
|
15 |
15 |
$3K |
| 82607 |
|
75 |
68 |
$3K |
| 73564 |
|
44 |
36 |
$2K |
| 87631 |
|
14 |
14 |
$2K |
| 99212 |
|
86 |
86 |
$2K |
| 96374 |
|
2,432 |
2,285 |
$2K |
| 80061 |
|
109 |
102 |
$2K |
| 71045 |
|
457 |
418 |
$1K |
| 83721 |
|
30 |
28 |
$846.86 |
| 80076 |
|
58 |
57 |
$625.93 |
| 81001 |
|
1,193 |
1,109 |
$556.14 |
| 71046 |
|
124 |
117 |
$543.79 |
| 87086 |
|
392 |
354 |
$478.73 |
| 83655 |
|
12 |
12 |
$439.46 |
| 87880 |
|
68 |
66 |
$415.36 |
| 81003 |
|
823 |
771 |
$377.88 |
| 96375 |
|
1,126 |
1,023 |
$330.81 |
| 85610 |
|
1,141 |
1,055 |
$255.17 |
| 72125 |
|
12 |
12 |
$244.18 |
| 84439 |
|
15 |
14 |
$168.30 |
| 87081 |
|
25 |
25 |
$75.02 |
| J7030 |
Normal saline solution infus |
934 |
873 |
$74.87 |
| 82077 |
|
41 |
38 |
$55.44 |
| 83690 |
|
189 |
178 |
$51.68 |
| 80069 |
|
47 |
44 |
$43.93 |
| 85027 |
|
14 |
12 |
$34.06 |
| 81025 |
|
139 |
136 |
$32.64 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
478 |
421 |
$26.72 |
| J1885 |
Ketorolac tromethamine inj |
635 |
581 |
$17.53 |
| J7120 |
Ringers lactate infusion |
361 |
333 |
$11.94 |
| J2704 |
Inj, propofol, 10 mg |
424 |
386 |
$9.44 |
| 83735 |
|
92 |
82 |
$8.44 |
| J2405 |
Ondansetron hcl injection |
466 |
434 |
$6.18 |
| J2001 |
Lidocaine injection |
439 |
398 |
$4.19 |
| J3010 |
Fentanyl citrate injection |
147 |
136 |
$1.32 |
| J2250 |
Inj midazolam hydrochloride |
231 |
210 |
$0.93 |
| 88305 |
|
191 |
105 |
$0.00 |
| 84703 |
|
15 |
13 |
$0.00 |
| 96372 |
|
150 |
143 |
$0.00 |
| 84075 |
|
12 |
12 |
$0.00 |
| 82247 |
|
12 |
12 |
$0.00 |
| 84450 |
|
12 |
12 |
$0.00 |
| 82248 |
|
12 |
12 |
$0.00 |
| 84460 |
|
12 |
12 |
$0.00 |
| 84155 |
|
12 |
12 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
14 |
13 |
$0.00 |