| Code | Description | Claims | Beneficiaries | Total Paid |
| 90834 |
|
46,337 |
21,551 |
$3.90M |
| S9485 |
Crisis intervention mental h |
984 |
764 |
$680K |
| 99214 |
|
5,864 |
5,712 |
$556K |
| 96133 |
|
1,133 |
1,131 |
$522K |
| 90791 |
|
3,688 |
3,568 |
$512K |
| 99284 |
|
2,676 |
2,553 |
$433K |
| 96137 |
|
1,085 |
1,077 |
$431K |
| 99283 |
|
2,128 |
2,057 |
$328K |
| 99213 |
|
5,215 |
5,057 |
$318K |
| 96118 |
|
254 |
254 |
$244K |
| 96361 |
|
439 |
415 |
$186K |
| 90847 |
|
2,085 |
1,283 |
$183K |
| 90837 |
|
1,768 |
1,090 |
$182K |
| 90792 |
|
1,636 |
1,635 |
$176K |
| 99285 |
|
1,034 |
990 |
$174K |
| 90846 |
|
1,277 |
1,130 |
$123K |
| 96132 |
|
1,145 |
1,142 |
$122K |
| 99215 |
Prolong outpt/office vis |
708 |
696 |
$90K |
| 90832 |
|
1,728 |
1,292 |
$73K |
| 96136 |
|
1,086 |
1,081 |
$53K |
| 99282 |
|
241 |
239 |
$40K |
| 90887 |
|
946 |
621 |
$39K |
| 94640 |
|
306 |
191 |
$39K |
| 90853 |
|
1,013 |
399 |
$34K |
| 99402 |
|
409 |
407 |
$33K |
| 96360 |
|
159 |
155 |
$33K |
| 96139 |
|
99 |
99 |
$28K |
| 80307 |
|
587 |
518 |
$27K |
| 87631 |
|
245 |
237 |
$27K |
| 99211 |
|
965 |
897 |
$22K |
| 96365 |
|
109 |
99 |
$15K |
| 90882 |
|
335 |
235 |
$14K |
| 85025 |
|
3,356 |
2,886 |
$14K |
| 70450 |
|
234 |
229 |
$13K |
| 74177 |
|
87 |
86 |
$11K |
| 80048 |
|
3,218 |
2,657 |
$10K |
| 86140 |
|
495 |
472 |
$9K |
| 87086 |
|
1,766 |
1,680 |
$9K |
| 84443 |
|
1,513 |
1,492 |
$8K |
| 87635 |
|
185 |
175 |
$8K |
| 86480 |
|
134 |
134 |
$8K |
| 83036 |
|
1,157 |
1,151 |
$7K |
| 82306 |
|
566 |
564 |
$6K |
| 80053 |
|
1,648 |
1,601 |
$6K |
| 86618 |
|
83 |
81 |
$5K |
| G0378 |
Hospital observation per hr |
192 |
142 |
$5K |
| 87070 |
|
588 |
584 |
$5K |
| 83516 |
|
149 |
149 |
$4K |
| 71046 |
|
1,161 |
1,121 |
$4K |
| 82728 |
|
382 |
379 |
$4K |
| 84439 |
|
636 |
629 |
$4K |
| 96138 |
|
125 |
125 |
$4K |
| 80076 |
|
1,055 |
1,007 |
$4K |
| 93306 |
|
27 |
27 |
$3K |
| 87077 |
|
654 |
630 |
$3K |
| 86664 |
|
60 |
59 |
$3K |
| 77067 |
|
498 |
498 |
$3K |
| 87186 |
|
742 |
701 |
$3K |
| 86665 |
|
60 |
59 |
$3K |
| 80061 |
|
1,431 |
1,426 |
$2K |
| 76705 |
|
16 |
14 |
$2K |
| 81025 |
|
332 |
326 |
$2K |
| 83690 |
|
325 |
311 |
$2K |
| 87880 |
|
152 |
151 |
$2K |
| 87389 |
|
66 |
65 |
$2K |
| J3490 |
Drugs unclassified injection |
45 |
37 |
$2K |
| 84484 |
|
190 |
169 |
$2K |
| 83550 |
|
233 |
232 |
$2K |
| 82784 |
|
139 |
139 |
$2K |
| 87491 |
|
42 |
41 |
$2K |
| 83655 |
|
106 |
106 |
$1K |
| 96374 |
|
561 |
533 |
$1K |
| G0480 |
Drug test def 1-7 classes |
27 |
25 |
$1K |
| 77080 |
|
189 |
189 |
$1K |
| 83540 |
|
277 |
276 |
$1K |
| 83735 |
|
703 |
579 |
$1K |
| 80050 |
|
74 |
74 |
$1K |
| 87591 |
|
41 |
40 |
$1K |
| 83880 |
|
114 |
100 |
$1K |
| 85652 |
|
428 |
414 |
$1K |
| 81001 |
|
855 |
817 |
$901.65 |
| 82150 |
|
57 |
57 |
$830.34 |
| 86803 |
|
44 |
44 |
$801.74 |
| 82607 |
|
379 |
375 |
$768.26 |
| 85027 |
|
1,101 |
1,042 |
$754.01 |
| 87040 |
|
60 |
59 |
$719.41 |
| 86003 |
|
14 |
14 |
$713.50 |
| 81002 |
|
256 |
253 |
$657.68 |
| 86039 |
|
13 |
13 |
$617.88 |
| 84153 |
|
308 |
305 |
$616.48 |
| 87205 |
|
179 |
177 |
$576.83 |
| 77063 |
|
154 |
154 |
$549.30 |
| 93005 |
|
751 |
672 |
$532.68 |
| 71045 |
|
135 |
132 |
$448.99 |
| 82248 |
|
52 |
39 |
$439.01 |
| 84460 |
|
102 |
95 |
$423.72 |
| 84702 |
|
25 |
25 |
$375.07 |
| 83970 |
|
107 |
106 |
$371.55 |
| 36415 |
|
3,814 |
2,855 |
$371.46 |
| 85610 |
|
1,686 |
906 |
$331.75 |
| 82043 |
|
528 |
524 |
$320.54 |
| 84450 |
|
66 |
60 |
$287.60 |
| 84436 |
|
31 |
31 |
$286.08 |
| 87046 |
|
32 |
30 |
$240.80 |
| 88305 |
|
158 |
78 |
$236.68 |
| 73610 |
|
48 |
48 |
$226.83 |
| 87045 |
|
31 |
30 |
$223.08 |
| 81003 |
|
172 |
165 |
$214.99 |
| 84100 |
|
145 |
133 |
$162.50 |
| 86900 |
|
13 |
13 |
$156.43 |
| G0463 |
Hospital outpt clinic visit |
27 |
25 |
$140.49 |
| 87804 |
|
12 |
12 |
$134.53 |
| 86038 |
|
18 |
18 |
$132.24 |
| 83605 |
|
13 |
12 |
$126.75 |
| 86780 |
|
13 |
13 |
$120.70 |
| 87081 |
|
25 |
25 |
$119.02 |
| 82565 |
|
67 |
62 |
$105.99 |
| J2405 |
Ondansetron hcl injection |
184 |
168 |
$105.00 |
| 84703 |
|
13 |
13 |
$89.18 |
| 85045 |
|
31 |
29 |
$88.16 |
| 73630 |
|
24 |
24 |
$75.61 |
| 86850 |
|
12 |
12 |
$64.98 |
| J2270 |
Morphine sulfate injection |
28 |
26 |
$57.70 |
| 96375 |
|
237 |
226 |
$45.94 |
| 87076 |
|
72 |
67 |
$34.80 |
| P9604 |
One-way allow prorated trip |
350 |
212 |
$29.40 |
| 86901 |
|
13 |
13 |
$27.30 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
187 |
182 |
$0.00 |
| 73130 |
|
14 |
13 |
$0.00 |
| 82948 |
|
16 |
13 |
$0.00 |
| J7050 |
Normal saline solution infus |
116 |
58 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
206 |
187 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
52 |
49 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
36 |
36 |
$0.00 |
| 82962 |
|
297 |
214 |
$0.00 |
| J2001 |
Lidocaine injection |
166 |
107 |
$0.00 |
| 96372 |
|
99 |
87 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
108 |
96 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
16 |
15 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
87 |
78 |
$0.00 |
| 82746 |
|
13 |
13 |
$0.00 |
| 80069 |
|
13 |
12 |
$0.00 |