| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
|
3,434 |
2,549 |
$430K |
| 99283 |
|
5,713 |
5,028 |
$357K |
| 80053 |
|
2,537 |
2,063 |
$298K |
| 99284 |
|
2,647 |
2,257 |
$242K |
| 99285 |
|
1,270 |
1,081 |
$230K |
| 85027 |
|
2,266 |
1,740 |
$218K |
| 96361 |
|
1,005 |
820 |
$213K |
| 84484 |
|
1,236 |
807 |
$197K |
| 93005 |
|
1,573 |
1,228 |
$189K |
| 96375 |
|
1,117 |
905 |
$169K |
| 71045 |
|
1,490 |
1,250 |
$160K |
| 97110 |
|
496 |
119 |
$148K |
| J7030 |
Normal saline solution infus |
1,024 |
815 |
$127K |
| 85025 |
|
1,109 |
886 |
$125K |
| 96374 |
|
1,156 |
975 |
$123K |
| 99282 |
|
1,339 |
1,230 |
$118K |
| 80048 |
|
977 |
741 |
$112K |
| 96365 |
|
579 |
495 |
$109K |
| J2405 |
Ondansetron hcl injection |
841 |
669 |
$105K |
| 83690 |
|
880 |
717 |
$100K |
| 99281 |
|
899 |
822 |
$93K |
| 70450 |
|
441 |
387 |
$91K |
| 94640 |
|
632 |
431 |
$85K |
| J2270 |
Morphine sulfate injection |
564 |
420 |
$84K |
| 81001 |
|
1,134 |
974 |
$78K |
| 96372 |
|
1,330 |
1,092 |
$73K |
| 81003 |
|
1,109 |
955 |
$72K |
| 82550 |
|
521 |
401 |
$70K |
| 87804 |
|
1,417 |
1,079 |
$70K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
283 |
247 |
$66K |
| 82553 |
|
359 |
283 |
$58K |
| 81025 |
|
1,145 |
952 |
$56K |
| 83605 |
|
303 |
223 |
$51K |
| 82962 |
|
235 |
123 |
$49K |
| 87040 |
|
258 |
171 |
$48K |
| J1885 |
Ketorolac tromethamine inj |
772 |
652 |
$43K |
| 83880 |
|
240 |
197 |
$40K |
| 74176 |
|
175 |
151 |
$39K |
| 83735 |
|
190 |
160 |
$35K |
| 74177 |
|
171 |
153 |
$31K |
| 80306 |
|
390 |
320 |
$29K |
| J2550 |
Promethazine hcl injection |
195 |
155 |
$28K |
| 84443 |
|
194 |
151 |
$25K |
| 87086 |
|
396 |
342 |
$24K |
| 96366 |
|
104 |
79 |
$23K |
| J0696 |
Ceftriaxone sodium injection |
300 |
262 |
$20K |
| 96376 |
|
111 |
71 |
$20K |
| J1100 |
Dexamethasone sodium phos |
274 |
233 |
$20K |
| 87430 |
|
734 |
685 |
$17K |
| 71046 |
|
360 |
331 |
$17K |
| 93306 |
|
45 |
43 |
$15K |
| 96360 |
|
97 |
70 |
$11K |
| 73564 |
|
123 |
113 |
$10K |
| 73630 |
|
133 |
126 |
$10K |
| 73130 |
|
89 |
82 |
$6K |
| J7120 |
Ringers lactate infusion |
34 |
26 |
$5K |
| 87186 |
|
75 |
67 |
$5K |
| J2060 |
Lorazepam injection |
15 |
13 |
$5K |
| 94760 |
|
34 |
15 |
$5K |
| 85610 |
|
28 |
25 |
$4K |
| 97140 |
|
39 |
13 |
$4K |
| 73610 |
|
51 |
43 |
$3K |
| G0378 |
Hospital observation per hr |
27 |
15 |
$3K |
| 85378 |
|
16 |
14 |
$2K |
| 83036 |
|
35 |
26 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
30 |
25 |
$1K |
| 73030 |
|
14 |
13 |
$1K |
| 87088 |
|
13 |
13 |
$1K |
| 73110 |
|
15 |
15 |
$1K |
| 80061 |
|
16 |
12 |
$1K |
| 74018 |
|
13 |
13 |
$1K |
| 72100 |
|
41 |
38 |
$1K |
| 29125 |
|
14 |
14 |
$867.26 |
| 87591 |
|
27 |
24 |
$804.73 |
| 87807 |
|
83 |
80 |
$701.02 |
| 77067 |
|
12 |
12 |
$666.57 |
| 84702 |
|
30 |
25 |
$649.81 |
| J7512 |
Prednisone ir or dr oral 1mg |
57 |
55 |
$300.38 |
| J7510 |
Prednisolone oral per 5 mg |
17 |
16 |
$0.00 |