| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
95,496 |
94,543 |
$7.90M |
| 0750 |
|
6,290 |
6,237 |
$4.23M |
| 0360 |
|
2,519 |
1,310 |
$1.10M |
| 99283 |
|
63,793 |
62,708 |
$900K |
| Z7502 |
|
14,706 |
14,548 |
$547K |
| 99285 |
|
4,900 |
4,847 |
$215K |
| 99284 |
|
8,319 |
8,125 |
$194K |
| 99282 |
|
22,710 |
22,530 |
$165K |
| 80053 |
|
43,872 |
43,387 |
$137K |
| 85025 |
|
48,969 |
48,434 |
$116K |
| 99281 |
|
11,192 |
10,772 |
$107K |
| 93005 |
|
16,720 |
16,460 |
$71K |
| 87637 |
|
2,458 |
2,455 |
$60K |
| 93010 |
|
14,916 |
14,388 |
$58K |
| 87635 |
|
2,530 |
2,511 |
$30K |
| 83690 |
|
13,249 |
13,161 |
$26K |
| 86141 |
|
7,842 |
7,731 |
$18K |
| Z7610 |
|
2,558 |
1,433 |
$14K |
| 87426 |
|
2,283 |
2,269 |
$13K |
| 80307 |
|
922 |
905 |
$12K |
| 81001 |
|
12,516 |
12,373 |
$10K |
| 71046 |
|
3,461 |
1,784 |
$9K |
| J7120 |
Ringers lactate infusion |
3,111 |
2,994 |
$5K |
| 81003 |
|
7,201 |
7,148 |
$5K |
| J3490 |
Drugs unclassified injection |
78,098 |
41,947 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
6,031 |
5,833 |
$4K |
| 84484 |
|
1,835 |
1,472 |
$4K |
| 99199 |
|
72 |
70 |
$4K |
| 74177 |
|
99 |
50 |
$3K |
| 87086 |
|
1,214 |
1,205 |
$3K |
| 45385 |
|
1,058 |
1,053 |
$2K |
| 88305 |
|
2,299 |
2,284 |
$2K |
| 43235 |
|
567 |
561 |
$2K |
| G0480 |
Drug test def 1-7 classes |
78 |
77 |
$2K |
| 45378 |
|
421 |
416 |
$1K |
| J7030 |
Normal saline solution infus |
1,400 |
1,367 |
$850.59 |
| 90715 |
|
83 |
65 |
$798.54 |
| 76000 |
|
105 |
103 |
$793.30 |
| 96374 |
|
312 |
311 |
$747.30 |
| J2250 |
Inj midazolam hydrochloride |
7,670 |
7,062 |
$723.47 |
| 96372 |
|
294 |
293 |
$711.47 |
| J3010 |
Fentanyl citrate injection |
7,836 |
7,239 |
$608.45 |
| 74176 |
|
54 |
27 |
$596.14 |
| 71045 |
|
254 |
131 |
$553.56 |
| 99070 |
|
137 |
92 |
$533.66 |
| J2704 |
Inj, propofol, 10 mg |
1,463 |
1,431 |
$525.78 |
| J2405 |
Ondansetron hcl injection |
1,325 |
1,253 |
$512.17 |
| 36415 |
|
22,516 |
22,055 |
$511.85 |
| J0690 |
Cefazolin sodium injection |
713 |
692 |
$410.31 |
| 84702 |
|
188 |
184 |
$377.24 |
| 72100 |
|
51 |
26 |
$347.60 |
| 82962 |
|
752 |
700 |
$339.73 |
| 80048 |
|
128 |
126 |
$272.81 |
| 85610 |
|
232 |
230 |
$256.94 |
| 0510 |
|
823 |
823 |
$246.12 |
| J1200 |
Diphenhydramine hcl injectio |
1,805 |
1,762 |
$245.25 |
| 73630 |
|
24 |
13 |
$198.77 |
| E0114 |
Crutch underarm pair no wood |
12 |
12 |
$188.75 |
| 83880 |
|
26 |
26 |
$180.90 |
| J0131 |
Inj, acetaminophen (nos) |
565 |
555 |
$163.65 |
| 0272 |
|
993 |
966 |
$145.20 |
| 85027 |
|
70 |
70 |
$122.47 |
| 87880 |
|
37 |
37 |
$118.35 |
| 96375 |
|
98 |
98 |
$112.16 |
| 96361 |
|
56 |
55 |
$87.60 |
| S0020 |
Injection, bupivicaine hydro |
145 |
142 |
$79.48 |
| 84443 |
|
12 |
12 |
$71.40 |
| 83605 |
|
52 |
51 |
$59.52 |
| 87210 |
|
27 |
27 |
$58.51 |
| J7040 |
Normal saline solution infus |
2,391 |
2,362 |
$52.07 |
| 43239 |
|
67 |
67 |
$50.20 |
| 87491 |
|
13 |
13 |
$31.17 |
| 87591 |
|
13 |
13 |
$31.07 |
| 81025 |
|
18 |
18 |
$23.14 |
| J1100 |
Dexamethasone sodium phos |
304 |
298 |
$22.83 |
| J0696 |
Ceftriaxone sodium injection |
24 |
24 |
$14.82 |
| 85730 |
|
13 |
13 |
$8.50 |
| J1644 |
Inj heparin sodium per 1000u |
177 |
177 |
$4.73 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
127 |
127 |
$3.25 |
| 0072A |
|
1,758 |
1,758 |
$0.00 |
| 0710 |
|
1,329 |
1,310 |
$0.00 |
| 0370 |
|
7,527 |
7,457 |
$0.00 |
| 0081A |
|
400 |
399 |
$0.00 |
| J7050 |
Normal saline solution infus |
1,755 |
1,750 |
$0.00 |
| 0052A |
|
1,159 |
1,159 |
$0.00 |
| 0051A |
|
797 |
797 |
$0.00 |
| 0636 |
|
496 |
471 |
$0.00 |
| 90686 |
|
4,124 |
2,060 |
$0.00 |
| 0082A |
|
427 |
427 |
$0.00 |
| 0154A |
|
309 |
309 |
$0.00 |
| 0111A |
|
90 |
90 |
$0.00 |
| 0771 |
|
80 |
80 |
$0.00 |
| 90716 |
|
252 |
126 |
$0.00 |
| J1170 |
Hydromorphone injection |
66 |
66 |
$0.00 |
| J2001 |
Lidocaine injection |
300 |
278 |
$0.00 |
| 0074A |
|
311 |
311 |
$0.00 |
| 0064A |
|
3,791 |
3,791 |
$0.00 |
| 90647 |
|
226 |
113 |
$0.00 |
| 90480 |
|
417 |
417 |
$0.00 |
| 90723 |
|
52 |
26 |
$0.00 |
| 99213 |
|
92 |
92 |
$0.00 |
| Q0162 |
Ondansetron oral |
12 |
12 |
$0.00 |
| 0271 |
|
50 |
50 |
$0.00 |
| 0112A |
|
80 |
80 |
$0.00 |
| 90680 |
|
53 |
26 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
15 |
15 |
$0.00 |
| 80320 |
|
24 |
24 |
$0.00 |
| 90471 |
|
15 |
15 |
$0.00 |
| 99392 |
|
76 |
76 |
$0.00 |
| 90649 |
|
50 |
50 |
$0.00 |
| 0071A |
|
7,729 |
7,195 |
$0.00 |
| 0054A |
|
6,373 |
6,373 |
$0.00 |
| 91320 |
|
29 |
29 |
$0.00 |
| 90633 |
|
324 |
162 |
$0.00 |
| 0003A |
|
444 |
444 |
$0.00 |
| 91322 |
|
375 |
375 |
$0.00 |
| 0004A |
|
6,215 |
6,214 |
$0.00 |
| 0124A |
|
2,078 |
2,078 |
$0.00 |
| 0083A |
|
48 |
48 |
$0.00 |
| 0013A |
|
239 |
239 |
$0.00 |
| 90707 |
|
144 |
72 |
$0.00 |
| 90700 |
|
68 |
34 |
$0.00 |
| 99391 |
|
31 |
31 |
$0.00 |
| 90670 |
|
220 |
110 |
$0.00 |
| 99394 |
|
12 |
12 |
$0.00 |
| 0073A |
|
35 |
35 |
$0.00 |
| 99152 |
|
13 |
12 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
30 |
30 |
$0.00 |
| 90713 |
|
24 |
12 |
$0.00 |
| 99393 |
|
38 |
38 |
$0.00 |
| 0034A |
|
13 |
13 |
$0.00 |
| 99188 |
|
14 |
14 |
$0.00 |