| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
7,103 |
6,243 |
$400K |
| 36415 |
|
8,233 |
5,907 |
$360K |
| 99284 |
|
5,431 |
4,653 |
$289K |
| 96361 |
|
2,032 |
1,678 |
$225K |
| 80053 |
|
5,606 |
4,340 |
$110K |
| 99281 |
|
1,042 |
966 |
$107K |
| 92507 |
|
693 |
209 |
$104K |
| 97110 |
|
641 |
170 |
$103K |
| 99282 |
|
1,101 |
1,021 |
$93K |
| 99285 |
|
1,962 |
1,606 |
$88K |
| 80306 |
|
2,264 |
1,909 |
$86K |
| 87804 |
|
2,376 |
2,064 |
$82K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
760 |
656 |
$79K |
| 70450 |
|
747 |
629 |
$75K |
| 94640 |
|
832 |
663 |
$69K |
| 74176 |
|
597 |
524 |
$67K |
| 96365 |
|
1,168 |
974 |
$53K |
| J7030 |
Normal saline solution infus |
2,754 |
2,212 |
$50K |
| 74177 |
|
485 |
433 |
$50K |
| 81025 |
|
2,029 |
1,777 |
$46K |
| 96366 |
|
503 |
319 |
$39K |
| 85025 |
|
6,259 |
4,898 |
$37K |
| 99211 |
|
787 |
616 |
$36K |
| 96360 |
|
684 |
599 |
$33K |
| 82962 |
|
1,113 |
480 |
$27K |
| 81001 |
|
2,487 |
2,168 |
$23K |
| 86901 |
|
377 |
339 |
$22K |
| 71045 |
|
2,112 |
1,746 |
$21K |
| 87086 |
|
1,462 |
1,284 |
$21K |
| 96375 |
|
2,216 |
1,628 |
$20K |
| 93005 |
|
2,278 |
1,675 |
$20K |
| 84484 |
|
1,842 |
1,156 |
$20K |
| 96372 |
|
1,928 |
1,428 |
$19K |
| G0378 |
Hospital observation per hr |
940 |
422 |
$19K |
| 81003 |
|
1,797 |
1,556 |
$19K |
| 80048 |
|
1,487 |
1,117 |
$18K |
| 96374 |
|
2,368 |
1,918 |
$17K |
| J2405 |
Ondansetron hcl injection |
1,396 |
1,038 |
$17K |
| 71046 |
|
1,063 |
941 |
$16K |
| 87040 |
|
957 |
616 |
$15K |
| 76830 |
|
208 |
180 |
$15K |
| 87430 |
|
1,830 |
1,690 |
$13K |
| 96376 |
|
870 |
378 |
$12K |
| 83880 |
|
488 |
391 |
$12K |
| J1170 |
Hydromorphone injection |
907 |
523 |
$12K |
| 86850 |
|
160 |
150 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
1,438 |
1,125 |
$11K |
| 85610 |
|
701 |
545 |
$11K |
| 83690 |
|
1,242 |
1,039 |
$11K |
| 76705 |
|
141 |
125 |
$10K |
| 76805 |
|
103 |
99 |
$9K |
| 85027 |
|
846 |
511 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
892 |
700 |
$9K |
| 76815 |
|
271 |
242 |
$8K |
| J7120 |
Ringers lactate infusion |
599 |
412 |
$7K |
| 77067 |
|
216 |
195 |
$7K |
| 83735 |
|
633 |
497 |
$7K |
| 82550 |
|
605 |
442 |
$6K |
| 86900 |
|
212 |
195 |
$6K |
| J2550 |
Promethazine hcl injection |
849 |
603 |
$6K |
| 93306 |
|
41 |
37 |
$5K |
| 74018 |
|
255 |
221 |
$5K |
| 94761 |
|
563 |
435 |
$5K |
| 72100 |
|
182 |
159 |
$5K |
| 80307 |
|
347 |
281 |
$5K |
| 84443 |
|
983 |
862 |
$4K |
| 73130 |
|
81 |
77 |
$4K |
| 73630 |
|
142 |
127 |
$4K |
| 85730 |
|
464 |
390 |
$4K |
| 83605 |
|
307 |
252 |
$4K |
| J7040 |
Normal saline solution infus |
64 |
42 |
$4K |
| 80061 |
|
644 |
573 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
195 |
133 |
$3K |
| 87186 |
|
502 |
438 |
$3K |
| 82553 |
|
301 |
244 |
$3K |
| 87210 |
|
209 |
192 |
$3K |
| 73610 |
|
77 |
73 |
$3K |
| 84112 |
|
46 |
38 |
$3K |
| 36600 |
|
135 |
109 |
$2K |
| J2930 |
Methylprednisolone injection |
363 |
293 |
$2K |
| 73564 |
|
62 |
55 |
$2K |
| 87807 |
|
479 |
467 |
$2K |
| 87088 |
|
282 |
246 |
$2K |
| 82803 |
|
137 |
108 |
$2K |
| 87491 |
|
340 |
310 |
$2K |
| 97162 |
|
28 |
27 |
$1K |
| 73030 |
|
45 |
39 |
$1K |
| 87591 |
|
349 |
318 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
105 |
87 |
$1K |
| J2270 |
Morphine sulfate injection |
260 |
189 |
$1K |
| 84702 |
|
524 |
419 |
$958.98 |
| J2250 |
Inj midazolam hydrochloride |
63 |
51 |
$917.95 |
| J1100 |
Dexamethasone sodium phos |
51 |
40 |
$899.72 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
14 |
12 |
$853.63 |
| J3010 |
Fentanyl citrate injection |
154 |
113 |
$838.86 |
| 82150 |
|
120 |
108 |
$838.76 |
| J2543 |
Piperacillin/tazobactam |
18 |
14 |
$712.25 |
| 83036 |
|
288 |
261 |
$658.42 |
| 72040 |
|
13 |
12 |
$446.97 |
| 97164 |
|
12 |
12 |
$416.79 |
| 76817 |
|
32 |
29 |
$359.60 |
| J2060 |
Lorazepam injection |
71 |
62 |
$343.95 |
| 87635 |
|
40 |
36 |
$308.76 |
| J7050 |
Normal saline solution infus |
108 |
67 |
$287.53 |
| 85378 |
|
44 |
39 |
$267.57 |
| J2360 |
Orphenadrine injection |
60 |
49 |
$129.87 |
| 86703 |
|
61 |
54 |
$55.67 |
| 87070 |
|
16 |
16 |
$28.51 |
| 86592 |
|
71 |
66 |
$20.44 |
| 82607 |
|
97 |
88 |
$14.27 |
| 82247 |
|
22 |
12 |
$9.18 |
| 86762 |
|
14 |
12 |
$4.52 |
| J7512 |
Prednisone ir or dr oral 1mg |
126 |
116 |
$0.00 |
| 82306 |
|
30 |
27 |
$0.00 |
| 87340 |
|
14 |
12 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
73 |
71 |
$0.00 |
| 84439 |
|
15 |
12 |
$0.00 |