| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2405 |
Ondansetron hcl injection |
605 |
483 |
$177K |
| J2550 |
Promethazine hcl injection |
863 |
548 |
$158K |
| 99283 |
|
6,526 |
5,462 |
$148K |
| 80053 |
|
2,425 |
2,143 |
$145K |
| 99282 |
|
1,103 |
1,061 |
$144K |
| 87400 |
|
1,125 |
1,085 |
$96K |
| 99281 |
|
719 |
692 |
$82K |
| 80048 |
|
881 |
820 |
$52K |
| J7120 |
Ringers lactate infusion |
394 |
351 |
$45K |
| 87070 |
|
1,287 |
1,233 |
$44K |
| 84703 |
|
901 |
836 |
$37K |
| 81001 |
|
2,406 |
2,124 |
$34K |
| 71046 |
|
908 |
857 |
$28K |
| 97110 |
|
777 |
211 |
$22K |
| J7030 |
Normal saline solution infus |
786 |
597 |
$20K |
| 85025 |
|
3,272 |
2,784 |
$15K |
| J2250 |
Inj midazolam hydrochloride |
182 |
175 |
$13K |
| 87086 |
|
498 |
471 |
$10K |
| 80307 |
|
390 |
353 |
$10K |
| 99284 |
|
1,970 |
1,773 |
$8K |
| 87430 |
|
1,321 |
1,266 |
$8K |
| 87186 |
|
188 |
171 |
$7K |
| 70450 |
|
342 |
321 |
$7K |
| 36415 |
|
2,338 |
2,039 |
$6K |
| 74176 |
|
366 |
348 |
$5K |
| 82306 |
|
82 |
82 |
$5K |
| 84443 |
|
423 |
410 |
$4K |
| 73610 |
|
38 |
37 |
$3K |
| 99285 |
|
512 |
469 |
$3K |
| 87420 |
|
32 |
31 |
$3K |
| 87077 |
|
234 |
218 |
$3K |
| 71045 |
|
696 |
630 |
$3K |
| 93005 |
|
1,093 |
1,001 |
$2K |
| 73560 |
|
40 |
39 |
$2K |
| G8978 |
Mobility current status |
61 |
58 |
$2K |
| 73630 |
|
29 |
28 |
$2K |
| 96361 |
|
463 |
403 |
$2K |
| 85379 |
|
119 |
116 |
$2K |
| 97161 |
|
142 |
133 |
$866.50 |
| 85610 |
|
512 |
474 |
$802.08 |
| J2001 |
Lidocaine injection |
58 |
58 |
$609.17 |
| 84484 |
|
893 |
701 |
$505.31 |
| 87040 |
|
176 |
132 |
$483.35 |
| 85730 |
|
500 |
460 |
$474.62 |
| 94640 |
|
469 |
365 |
$442.52 |
| 85027 |
|
13 |
13 |
$431.18 |
| 83880 |
|
82 |
76 |
$284.40 |
| 80061 |
|
424 |
421 |
$248.44 |
| 83036 |
|
276 |
272 |
$224.09 |
| 73130 |
|
15 |
15 |
$211.56 |
| 96360 |
|
66 |
62 |
$100.24 |
| 82553 |
|
637 |
506 |
$81.88 |
| 83690 |
|
528 |
473 |
$52.31 |
| 87797 |
|
12 |
12 |
$50.62 |
| 96372 |
|
2,337 |
1,844 |
$41.75 |
| 74018 |
|
15 |
13 |
$31.75 |
| 84439 |
|
95 |
94 |
$26.23 |
| J0595 |
Butorphanol tartrate 1 mg |
687 |
444 |
$0.00 |
| J2270 |
Morphine sulfate injection |
453 |
315 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
143 |
101 |
$0.00 |
| J2930 |
Methylprednisolone injection |
156 |
140 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
16 |
13 |
$0.00 |
| G8979 |
Mobility goal status |
65 |
62 |
$0.00 |
| 36600 |
|
14 |
12 |
$0.00 |
| G0378 |
Hospital observation per hr |
268 |
183 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
134 |
128 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
69 |
66 |
$0.00 |
| 87205 |
|
101 |
92 |
$0.00 |
| 96374 |
|
533 |
467 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
250 |
242 |
$0.00 |
| 82550 |
|
770 |
624 |
$0.00 |
| 83605 |
|
104 |
96 |
$0.00 |
| 96365 |
|
304 |
284 |
$0.00 |
| 83735 |
|
758 |
693 |
$0.00 |
| 96375 |
|
486 |
401 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
1,141 |
1,032 |
$0.00 |
| 84436 |
|
15 |
15 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
574 |
517 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
475 |
440 |
$0.00 |
| 96376 |
|
69 |
53 |
$0.00 |
| 85018 |
|
27 |
26 |
$0.00 |
| 87088 |
|
13 |
13 |
$0.00 |
| 82150 |
|
196 |
186 |
$0.00 |
| 82803 |
|
15 |
13 |
$0.00 |
| 87800 |
|
13 |
13 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
13 |
13 |
$0.00 |
| 82607 |
|
12 |
12 |
$0.00 |