| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
26,879 |
23,939 |
$4.71M |
| 99284 |
|
18,109 |
15,587 |
$3.44M |
| 99285 |
|
4,536 |
3,851 |
$1.14M |
| 99282 |
|
5,211 |
4,817 |
$630K |
| 0241U |
|
3,139 |
2,792 |
$462K |
| 41899 |
|
142 |
123 |
$292K |
| 93005 |
|
9,351 |
7,618 |
$244K |
| 11042 |
|
1,734 |
787 |
$167K |
| 80053 |
|
24,359 |
20,561 |
$166K |
| 85025 |
|
25,627 |
21,723 |
$161K |
| 71045 |
|
3,927 |
3,337 |
$146K |
| 96374 |
|
5,185 |
4,518 |
$140K |
| G0378 |
Hospital observation per hr |
3,139 |
1,273 |
$136K |
| J7120 |
Ringers lactate infusion |
2,551 |
2,164 |
$118K |
| 96375 |
|
2,265 |
1,697 |
$69K |
| 74177 |
|
114 |
103 |
$59K |
| 81001 |
|
17,940 |
15,348 |
$51K |
| 83735 |
|
8,334 |
6,852 |
$46K |
| 71046 |
|
1,199 |
1,025 |
$43K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
742 |
640 |
$41K |
| 84703 |
|
4,362 |
3,693 |
$37K |
| J3590 |
Unclassified biologics |
37,907 |
11,373 |
$36K |
| 36415 |
|
16,042 |
13,927 |
$33K |
| 70450 |
|
244 |
215 |
$31K |
| J7030 |
Normal saline solution infus |
1,678 |
1,056 |
$24K |
| 96372 |
|
1,304 |
490 |
$24K |
| 84484 |
|
2,715 |
1,932 |
$23K |
| 96376 |
|
876 |
325 |
$20K |
| J3490 |
Drugs unclassified injection |
17,107 |
4,940 |
$17K |
| 80307 |
|
425 |
257 |
$16K |
| 87635 |
|
268 |
229 |
$15K |
| 87426 |
|
626 |
535 |
$14K |
| 83690 |
|
2,309 |
1,982 |
$14K |
| 99211 |
|
483 |
404 |
$11K |
| 97597 |
|
175 |
117 |
$11K |
| 80048 |
|
1,899 |
1,161 |
$8K |
| J8499 |
Oral prescrip drug non chemo |
10,858 |
5,494 |
$7K |
| 87804 |
|
603 |
537 |
$7K |
| 96365 |
|
383 |
286 |
$7K |
| J2405 |
Ondansetron hcl injection |
528 |
438 |
$6K |
| 82948 |
|
3,304 |
779 |
$5K |
| G0463 |
Hospital outpt clinic visit |
664 |
408 |
$5K |
| 85027 |
|
1,826 |
970 |
$4K |
| 88305 |
|
90 |
79 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
329 |
290 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
186 |
164 |
$3K |
| 93306 |
|
33 |
26 |
$3K |
| 80061 |
|
441 |
347 |
$3K |
| 59025 |
|
54 |
37 |
$2K |
| J7040 |
Normal saline solution infus |
247 |
157 |
$2K |
| 96361 |
|
78 |
57 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
223 |
86 |
$2K |
| 71275 |
|
14 |
12 |
$2K |
| 0001A |
|
73 |
52 |
$2K |
| 87150 |
|
40 |
39 |
$2K |
| J1100 |
Dexamethasone sodium phos |
123 |
104 |
$2K |
| J3010 |
Fentanyl citrate injection |
117 |
104 |
$2K |
| 87880 |
|
124 |
108 |
$2K |
| 87502 |
|
40 |
38 |
$1K |
| 97110 |
|
32 |
12 |
$1K |
| 87088 |
|
110 |
108 |
$1K |
| 88304 |
|
16 |
14 |
$1K |
| J2270 |
Morphine sulfate injection |
41 |
15 |
$1K |
| 83880 |
|
65 |
47 |
$885.55 |
| J1650 |
Inj enoxaparin sodium |
149 |
62 |
$844.12 |
| 80076 |
|
103 |
94 |
$750.66 |
| J2001 |
Lidocaine injection |
173 |
148 |
$750.53 |
| 84702 |
|
50 |
45 |
$620.78 |
| 83605 |
|
124 |
75 |
$609.02 |
| 87081 |
|
93 |
77 |
$545.68 |
| Q9957 |
Inj perflutren lip micros,ml |
18 |
14 |
$424.82 |
| 83036 |
|
50 |
40 |
$266.80 |
| 94640 |
|
33 |
14 |
$260.26 |
| 86756 |
|
15 |
15 |
$240.90 |
| 85610 |
|
72 |
64 |
$158.25 |
| 84100 |
|
67 |
54 |
$114.19 |
| 84443 |
|
15 |
12 |
$112.46 |
| 82962 |
|
27 |
12 |
$90.11 |
| 85730 |
|
12 |
12 |
$48.51 |
| 85379 |
|
12 |
12 |
$45.26 |
| S0119 |
Ondansetron 4 mg |
45 |
28 |
$35.67 |
| 91300 |
|
30 |
15 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
19 |
12 |
$0.00 |