| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
|
1,870 |
1,829 |
$570K |
| 45378 |
|
335 |
321 |
$191K |
| 45385 |
|
287 |
281 |
$129K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
203 |
197 |
$91K |
| 45380 |
|
301 |
290 |
$87K |
| 58661 |
|
82 |
80 |
$73K |
| 29848 |
|
65 |
65 |
$51K |
| 58558 |
|
26 |
26 |
$28K |
| 52356 |
|
27 |
27 |
$26K |
| 30520 |
|
24 |
24 |
$24K |
| 64721 |
|
41 |
40 |
$24K |
| 30140 |
|
39 |
38 |
$16K |
| 47562 |
|
14 |
12 |
$12K |
| 14040 |
|
12 |
12 |
$11K |
| J2710 |
Neostigmine methylslfte inj |
1,725 |
1,433 |
$10K |
| 54161 |
|
26 |
26 |
$10K |
| 58571 |
|
15 |
15 |
$8K |
| X0597 |
|
47 |
45 |
$7K |
| J2370 |
Phenylephrine hcl injection |
644 |
494 |
$5K |
| 43235 |
|
18 |
18 |
$5K |
| 88305 |
|
1,707 |
1,669 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
29,338 |
15,572 |
$4K |
| C1769 |
Guide wire |
102 |
98 |
$3K |
| 88342 |
|
388 |
374 |
$3K |
| 99152 |
|
157 |
155 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
98 |
95 |
$1K |
| J7120 |
Ringers lactate infusion |
14,739 |
12,806 |
$1K |
| 93005 |
|
75 |
67 |
$969.68 |
| J3010 |
Fentanyl citrate injection |
14,562 |
11,918 |
$832.68 |
| 81025 |
|
696 |
660 |
$739.14 |
| 96374 |
|
47 |
46 |
$706.41 |
| 88307 |
|
195 |
190 |
$641.42 |
| 85027 |
|
93 |
86 |
$500.03 |
| J7030 |
Normal saline solution infus |
4,788 |
4,176 |
$490.77 |
| 82947 |
|
554 |
507 |
$458.19 |
| 80048 |
|
93 |
85 |
$433.41 |
| 96376 |
|
16 |
12 |
$396.00 |
| 88304 |
|
175 |
173 |
$393.83 |
| J1100 |
Dexamethasone sodium phos |
8,338 |
6,928 |
$297.63 |
| J1644 |
Inj heparin sodium per 1000u |
1,651 |
1,125 |
$281.85 |
| C1758 |
Catheter, ureteral |
26 |
26 |
$238.82 |
| 84703 |
|
81 |
79 |
$227.88 |
| J2405 |
Ondansetron hcl injection |
12,926 |
10,611 |
$224.78 |
| J2250 |
Inj midazolam hydrochloride |
11,265 |
9,621 |
$203.72 |
| 82962 |
|
323 |
298 |
$190.52 |
| J1170 |
Hydromorphone injection |
1,635 |
1,341 |
$124.30 |
| J1885 |
Ketorolac tromethamine inj |
4,024 |
3,061 |
$122.95 |
| J0690 |
Cefazolin sodium injection |
3,286 |
2,692 |
$118.71 |
| J2795 |
Ropivacaine hcl injection |
894 |
787 |
$60.00 |
| J2270 |
Morphine sulfate injection |
764 |
677 |
$58.43 |
| J0171 |
Adrenalin epinephrine inject |
731 |
646 |
$43.30 |
| A9270 |
Non-covered item or service |
2,136 |
513 |
$29.67 |
| C2627 |
Cath, suprapubic/cystoscopic |
13 |
13 |
$24.43 |
| J7050 |
Normal saline solution infus |
567 |
499 |
$15.64 |
| J3370 |
Vancomycin hcl injection |
316 |
294 |
$10.44 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
1,830 |
1,514 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
2,005 |
1,780 |
$0.00 |
| J0780 |
Prochlorperazine injection |
234 |
228 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
194 |
190 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
66 |
66 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
339 |
334 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
140 |
127 |
$0.00 |
| J2800 |
Methocarbamol injection |
55 |
52 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
217 |
211 |
$0.00 |
| J7040 |
Normal saline solution infus |
147 |
147 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
625 |
503 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
141 |
120 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
109 |
82 |
$0.00 |
| J2185 |
Meropenem |
15 |
14 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
15 |
14 |
$0.00 |
| J2184 |
Inj, meropenem (b. braun) |
284 |
277 |
$0.00 |
| J7999 |
Compounded drug, noc |
93 |
56 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
362 |
331 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
197 |
187 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
763 |
658 |
$0.00 |
| J1805 |
Inj, esmolol hcl, 10mg |
203 |
174 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
242 |
241 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
71 |
57 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
13 |
12 |
$0.00 |
| 64415 |
|
13 |
13 |
$0.00 |