| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
1,468 |
1,131 |
$2K |
| 80053 |
|
1,337 |
1,106 |
$234.32 |
| 87804 |
|
241 |
187 |
$59.60 |
| 36415 |
|
1,943 |
1,435 |
$32.40 |
| 85025 |
|
1,200 |
959 |
$17.26 |
| 87430 |
|
341 |
265 |
$15.13 |
| 80048 |
|
150 |
136 |
$7.83 |
| 85027 |
|
351 |
293 |
$7.18 |
| 81001 |
|
529 |
459 |
$7.06 |
| 76815 |
|
112 |
99 |
$0.00 |
| 93306 |
|
51 |
50 |
$0.00 |
| 87088 |
|
79 |
62 |
$0.00 |
| J2360 |
Orphenadrine injection |
46 |
45 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
319 |
294 |
$0.00 |
| 96365 |
|
148 |
139 |
$0.00 |
| 94760 |
|
13 |
12 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
93 |
88 |
$0.00 |
| 82306 |
|
108 |
81 |
$0.00 |
| J1170 |
Hydromorphone injection |
62 |
48 |
$0.00 |
| 99285 |
|
291 |
263 |
$0.00 |
| 83735 |
|
253 |
209 |
$0.00 |
| 94640 |
|
203 |
171 |
$0.00 |
| 83036 |
|
168 |
143 |
$0.00 |
| 87086 |
|
221 |
186 |
$0.00 |
| 83880 |
|
240 |
195 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
217 |
174 |
$0.00 |
| 96372 |
|
742 |
611 |
$0.00 |
| 83690 |
|
173 |
163 |
$0.00 |
| 96366 |
|
70 |
63 |
$0.00 |
| 99282 |
|
160 |
139 |
$0.00 |
| 71045 |
|
354 |
301 |
$0.00 |
| 84703 |
|
264 |
224 |
$0.00 |
| 96376 |
|
60 |
43 |
$0.00 |
| 76819 |
|
32 |
26 |
$0.00 |
| 83605 |
|
59 |
48 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
116 |
58 |
$0.00 |
| 87077 |
|
14 |
13 |
$0.00 |
| 84484 |
|
457 |
297 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
171 |
154 |
$0.00 |
| 85730 |
|
201 |
185 |
$0.00 |
| 82150 |
|
95 |
92 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
122 |
116 |
$0.00 |
| 96361 |
|
152 |
132 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
52 |
49 |
$0.00 |
| 84443 |
|
155 |
138 |
$0.00 |
| 96375 |
|
197 |
177 |
$0.00 |
| G0379 |
Direct refer hospital observ |
31 |
28 |
$0.00 |
| J3490 |
Drugs unclassified injection |
31 |
18 |
$0.00 |
| 96374 |
|
238 |
219 |
$0.00 |
| G0378 |
Hospital observation per hr |
172 |
109 |
$0.00 |
| 87070 |
|
16 |
15 |
$0.00 |
| 82962 |
|
287 |
141 |
$0.00 |
| 87040 |
|
145 |
129 |
$0.00 |
| 86850 |
|
30 |
28 |
$0.00 |
| 72148 |
|
12 |
12 |
$0.00 |
| C1769 |
Guide wire |
24 |
24 |
$0.00 |
| 76817 |
|
120 |
102 |
$0.00 |
| 86140 |
|
99 |
80 |
$0.00 |
| 82607 |
|
40 |
30 |
$0.00 |
| 87205 |
|
17 |
16 |
$0.00 |
| 73560 |
|
45 |
41 |
$0.00 |
| 86901 |
|
56 |
47 |
$0.00 |
| 82553 |
|
19 |
12 |
$0.00 |
| G0283 |
Elec stim other than wound |
43 |
15 |
$0.00 |
| 82728 |
|
15 |
13 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
20 |
17 |
$0.00 |
| 45378 |
|
13 |
12 |
$0.00 |
| J2550 |
Promethazine hcl injection |
154 |
135 |
$0.00 |
| J7120 |
Ringers lactate infusion |
99 |
86 |
$0.00 |
| 80061 |
|
71 |
67 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
89 |
64 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
152 |
136 |
$0.00 |
| 99284 |
|
629 |
541 |
$0.00 |
| 85610 |
|
220 |
199 |
$0.00 |
| J7030 |
Normal saline solution infus |
213 |
167 |
$0.00 |
| J2930 |
Methylprednisolone injection |
75 |
61 |
$0.00 |
| J7040 |
Normal saline solution infus |
164 |
147 |
$0.00 |
| 93005 |
|
453 |
400 |
$0.00 |
| 71046 |
|
256 |
233 |
$0.00 |
| 81003 |
|
252 |
215 |
$0.00 |
| J2270 |
Morphine sulfate injection |
113 |
96 |
$0.00 |
| 99212 |
|
60 |
53 |
$0.00 |
| 87186 |
|
105 |
86 |
$0.00 |
| 73630 |
|
44 |
36 |
$0.00 |
| 80305 |
|
97 |
93 |
$0.00 |
| 87420 |
|
64 |
57 |
$0.00 |
| 43239 |
|
16 |
15 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
16 |
12 |
$0.00 |
| 96360 |
|
76 |
72 |
$0.00 |
| 87210 |
|
95 |
80 |
$0.00 |
| 93460 |
|
12 |
12 |
$0.00 |
| 73030 |
|
29 |
28 |
$0.00 |
| 86900 |
|
34 |
31 |
$0.00 |
| 94060 |
|
12 |
12 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
72 |
53 |
$0.00 |
| 74177 |
|
15 |
14 |
$0.00 |
| 99281 |
|
171 |
136 |
$0.00 |
| 74176 |
|
85 |
83 |
$0.00 |
| 70450 |
|
170 |
162 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
98 |
96 |
$0.00 |
| 73130 |
|
21 |
13 |
$0.00 |
| 84702 |
|
16 |
13 |
$0.00 |
| 83540 |
|
15 |
13 |
$0.00 |
| 74018 |
|
13 |
12 |
$0.00 |
| 72110 |
|
15 |
13 |
$0.00 |