| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
8,474 |
7,468 |
$1.23M |
| 97139 |
|
4,283 |
875 |
$170K |
| 99201 |
|
940 |
568 |
$126K |
| 96374 |
|
897 |
837 |
$85K |
| 74177 |
|
208 |
207 |
$84K |
| J3490 |
Drugs unclassified injection |
5,780 |
2,879 |
$82K |
| J2704 |
Inj, propofol, 10 mg |
314 |
298 |
$72K |
| 70450 |
|
258 |
250 |
$60K |
| 96375 |
|
705 |
633 |
$50K |
| 93005 |
|
1,021 |
960 |
$42K |
| 71046 |
|
974 |
947 |
$34K |
| 77067 |
|
190 |
188 |
$34K |
| J1100 |
Dexamethasone sodium phos |
336 |
327 |
$30K |
| 97750 |
|
321 |
321 |
$29K |
| 93306 |
|
78 |
77 |
$29K |
| 80053 |
|
2,803 |
2,559 |
$28K |
| 76705 |
|
308 |
308 |
$27K |
| 96365 |
|
210 |
198 |
$26K |
| 85025 |
|
3,625 |
3,301 |
$25K |
| 96372 |
|
539 |
506 |
$24K |
| 96361 |
|
483 |
456 |
$23K |
| J2405 |
Ondansetron hcl injection |
704 |
659 |
$21K |
| 82306 |
|
475 |
474 |
$18K |
| 59025 |
|
459 |
199 |
$15K |
| 94640 |
|
421 |
348 |
$13K |
| 76856 |
|
141 |
141 |
$13K |
| 84443 |
|
997 |
967 |
$13K |
| 76700 |
|
107 |
107 |
$13K |
| 71045 |
|
473 |
448 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
586 |
550 |
$11K |
| 73562 |
|
260 |
253 |
$10K |
| 76830 |
|
97 |
97 |
$9K |
| 84484 |
|
552 |
494 |
$8K |
| 87086 |
|
982 |
931 |
$7K |
| 97799 |
|
190 |
37 |
$7K |
| J2250 |
Inj midazolam hydrochloride |
282 |
260 |
$7K |
| 80305 |
|
412 |
404 |
$7K |
| J0171 |
Adrenalin epinephrine inject |
44 |
42 |
$6K |
| 73030 |
|
147 |
145 |
$6K |
| 87389 |
|
324 |
324 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
279 |
270 |
$6K |
| 80061 |
|
560 |
558 |
$5K |
| 83690 |
|
682 |
637 |
$5K |
| G0480 |
Drug test def 1-7 classes |
79 |
77 |
$5K |
| 86003 |
|
48 |
48 |
$5K |
| 87040 |
|
200 |
187 |
$5K |
| 80048 |
|
570 |
541 |
$5K |
| 72100 |
|
100 |
100 |
$5K |
| 76815 |
|
50 |
24 |
$4K |
| J3010 |
Fentanyl citrate injection |
290 |
277 |
$4K |
| G0202 |
Scr mammo bi incl cad |
24 |
15 |
$4K |
| 80307 |
|
28 |
28 |
$4K |
| 73130 |
|
76 |
76 |
$4K |
| 83605 |
|
281 |
262 |
$4K |
| 90715 |
|
53 |
53 |
$4K |
| 74176 |
|
13 |
13 |
$4K |
| 84439 |
|
559 |
552 |
$4K |
| 73110 |
|
90 |
86 |
$3K |
| J2270 |
Morphine sulfate injection |
197 |
183 |
$3K |
| 87400 |
|
239 |
238 |
$3K |
| 73610 |
|
82 |
81 |
$3K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
79 |
79 |
$3K |
| 87186 |
|
358 |
345 |
$3K |
| 73630 |
|
84 |
83 |
$3K |
| 81001 |
|
931 |
877 |
$3K |
| 96360 |
|
33 |
33 |
$3K |
| 85610 |
|
605 |
564 |
$3K |
| 83036 |
|
361 |
358 |
$3K |
| 83735 |
|
404 |
364 |
$2K |
| 87491 |
|
83 |
83 |
$2K |
| 87591 |
|
83 |
83 |
$2K |
| 81003 |
|
882 |
850 |
$2K |
| J1170 |
Hydromorphone injection |
125 |
109 |
$2K |
| 85027 |
|
284 |
266 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
83 |
78 |
$2K |
| 81220 |
|
12 |
12 |
$2K |
| 83880 |
|
71 |
69 |
$2K |
| 87081 |
|
284 |
279 |
$2K |
| 82607 |
|
152 |
151 |
$2K |
| 87340 |
|
229 |
229 |
$2K |
| 76770 |
|
13 |
12 |
$2K |
| 86762 |
|
155 |
154 |
$2K |
| 86695 |
|
103 |
103 |
$2K |
| 86696 |
|
103 |
103 |
$2K |
| 85730 |
|
179 |
161 |
$1K |
| 86592 |
|
242 |
242 |
$1K |
| Z9725 |
|
25 |
25 |
$1K |
| 72040 |
|
25 |
25 |
$1K |
| J0690 |
Cefazolin sodium injection |
24 |
24 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
106 |
96 |
$990.98 |
| 87880 |
|
99 |
99 |
$958.33 |
| 88305 |
|
116 |
65 |
$951.20 |
| 85379 |
|
85 |
80 |
$936.24 |
| 82962 |
|
178 |
153 |
$853.21 |
| 82746 |
|
71 |
71 |
$764.59 |
| 86901 |
|
334 |
325 |
$748.02 |
| J2060 |
Lorazepam injection |
56 |
55 |
$745.19 |
| 86900 |
|
334 |
325 |
$718.61 |
| 86850 |
|
298 |
294 |
$670.46 |
| J2765 |
Metoclopramide hcl injection |
65 |
65 |
$653.21 |
| 86141 |
|
69 |
68 |
$642.01 |
| 86140 |
|
143 |
142 |
$569.58 |
| 83540 |
|
103 |
100 |
$471.74 |
| 83550 |
|
85 |
83 |
$468.35 |
| 81002 |
|
258 |
111 |
$447.31 |
| 87077 |
|
57 |
55 |
$443.21 |
| 87088 |
|
55 |
55 |
$429.76 |
| 87147 |
|
82 |
81 |
$417.28 |
| 85651 |
|
198 |
194 |
$413.30 |
| 82950 |
|
122 |
122 |
$410.41 |
| 86803 |
|
42 |
42 |
$391.69 |
| 85007 |
|
130 |
123 |
$384.99 |
| J2175 |
Meperidine hydrochl /100 mg |
13 |
13 |
$357.68 |
| 87070 |
|
39 |
39 |
$308.28 |
| 82570 |
|
45 |
43 |
$221.31 |
| 82550 |
|
13 |
13 |
$142.74 |
| 82728 |
|
13 |
13 |
$125.58 |
| 85652 |
|
39 |
39 |
$75.27 |
| 84481 |
|
13 |
13 |
$60.53 |