| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
15,928 |
13,783 |
$199K |
| 99282 |
|
12,137 |
10,831 |
$136K |
| 74177 |
|
2,243 |
1,939 |
$64K |
| 70450 |
|
2,507 |
2,117 |
$59K |
| G0378 |
Hospital observation per hr |
2,326 |
1,514 |
$49K |
| 97110 |
|
8,102 |
2,099 |
$31K |
| 80050 |
|
4,344 |
4,054 |
$26K |
| 99284 |
|
3,184 |
2,774 |
$24K |
| 80053 |
|
16,860 |
13,364 |
$19K |
| 0202U |
|
1,367 |
1,266 |
$19K |
| 71046 |
|
3,246 |
2,866 |
$17K |
| 85025 |
|
20,504 |
16,233 |
$16K |
| G0480 |
Drug test def 1-7 classes |
4,200 |
3,370 |
$13K |
| J3490 |
Drugs unclassified injection |
26,442 |
10,274 |
$12K |
| 80307 |
|
5,421 |
4,425 |
$10K |
| 87880 |
|
2,299 |
2,178 |
$10K |
| 87400 |
|
3,403 |
1,612 |
$9K |
| 71045 |
|
2,355 |
1,884 |
$9K |
| 81001 |
|
15,056 |
12,524 |
$8K |
| 87651 |
|
1,318 |
1,227 |
$8K |
| 87635 |
|
5,802 |
5,012 |
$7K |
| 76705 |
|
703 |
647 |
$7K |
| 82306 |
|
1,215 |
1,138 |
$7K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,357 |
3,009 |
$6K |
| 84443 |
|
5,526 |
4,990 |
$6K |
| 73721 |
|
136 |
129 |
$6K |
| 72125 |
|
325 |
284 |
$6K |
| 96361 |
|
168 |
122 |
$6K |
| 96365 |
|
1,837 |
1,158 |
$6K |
| 87086 |
|
3,522 |
3,060 |
$5K |
| 96372 |
|
4,263 |
3,512 |
$5K |
| 92507 |
|
524 |
150 |
$5K |
| 80061 |
|
3,744 |
3,553 |
$5K |
| 82728 |
|
1,776 |
1,615 |
$5K |
| 70486 |
|
77 |
67 |
$4K |
| 97530 |
|
1,118 |
295 |
$4K |
| 36415 |
|
14,839 |
11,370 |
$4K |
| 96374 |
|
3,894 |
3,345 |
$4K |
| 96375 |
|
2,936 |
2,243 |
$4K |
| 84703 |
|
2,333 |
2,058 |
$4K |
| 76856 |
|
221 |
212 |
$4K |
| 87040 |
|
2,283 |
1,318 |
$3K |
| 87502 |
|
246 |
240 |
$3K |
| 87186 |
|
2,461 |
2,200 |
$3K |
| 83036 |
|
4,279 |
4,033 |
$3K |
| 97112 |
|
809 |
285 |
$3K |
| J8499 |
Oral prescrip drug non chemo |
14,601 |
5,688 |
$3K |
| 87077 |
|
2,424 |
2,186 |
$3K |
| 74176 |
|
230 |
208 |
$3K |
| 76801 |
|
965 |
911 |
$3K |
| 80055 |
|
1,093 |
967 |
$3K |
| 93306 |
|
26 |
24 |
$3K |
| 84439 |
|
3,106 |
2,850 |
$3K |
| 73610 |
|
380 |
331 |
$3K |
| J7030 |
Normal saline solution infus |
5,145 |
3,741 |
$3K |
| 93005 |
|
4,350 |
3,480 |
$2K |
| 82607 |
|
1,099 |
1,036 |
$2K |
| 81025 |
|
4,578 |
4,089 |
$2K |
| 76805 |
|
120 |
114 |
$2K |
| J7120 |
Ringers lactate infusion |
4,066 |
3,263 |
$2K |
| 99285 |
|
125 |
102 |
$2K |
| 83690 |
|
2,834 |
2,453 |
$2K |
| 87081 |
|
1,778 |
1,647 |
$2K |
| 97161 |
|
578 |
539 |
$2K |
| 71260 |
|
99 |
88 |
$2K |
| 87807 |
|
323 |
295 |
$2K |
| 94640 |
|
1,068 |
695 |
$2K |
| 80048 |
|
2,622 |
2,227 |
$2K |
| 74019 |
|
224 |
208 |
$2K |
| 84481 |
|
723 |
690 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
3,647 |
3,074 |
$2K |
| 83540 |
|
885 |
795 |
$1K |
| 83550 |
|
692 |
616 |
$1K |
| 87210 |
|
2,969 |
2,666 |
$1K |
| 97140 |
|
1,118 |
405 |
$1K |
| 99281 |
|
372 |
345 |
$1K |
| 86803 |
|
1,772 |
1,585 |
$1K |
| 73630 |
|
280 |
233 |
$1K |
| J7050 |
Normal saline solution infus |
7,147 |
3,172 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
5,205 |
4,323 |
$991.16 |
| 83605 |
|
1,214 |
1,031 |
$929.76 |
| 73110 |
|
87 |
79 |
$874.21 |
| Q0162 |
Ondansetron oral |
1,109 |
894 |
$843.15 |
| 85651 |
|
2,085 |
1,818 |
$793.91 |
| 82150 |
|
1,380 |
1,202 |
$770.56 |
| 87070 |
|
1,668 |
1,476 |
$760.36 |
| J0690 |
Cefazolin sodium injection |
2,068 |
1,650 |
$737.51 |
| 87636 |
|
37 |
37 |
$727.59 |
| 88305 |
|
467 |
431 |
$692.83 |
| 73130 |
|
163 |
146 |
$681.70 |
| J1100 |
Dexamethasone sodium phos |
2,963 |
2,295 |
$632.13 |
| 84484 |
|
3,198 |
2,489 |
$619.51 |
| 85027 |
|
519 |
449 |
$547.86 |
| J1170 |
Hydromorphone injection |
2,800 |
1,890 |
$493.52 |
| 96360 |
|
152 |
112 |
$473.47 |
| 85610 |
|
2,540 |
1,838 |
$443.51 |
| 87634 |
|
43 |
40 |
$420.75 |
| J2250 |
Inj midazolam hydrochloride |
3,301 |
2,890 |
$416.30 |
| J0696 |
Ceftriaxone sodium injection |
722 |
562 |
$394.43 |
| J2405 |
Ondansetron hcl injection |
3,641 |
2,769 |
$390.65 |
| 82947 |
|
1,428 |
1,267 |
$372.20 |
| 73562 |
|
105 |
91 |
$344.02 |
| 87075 |
|
394 |
337 |
$327.16 |
| J3010 |
Fentanyl citrate injection |
1,985 |
1,709 |
$306.91 |
| 87205 |
|
1,005 |
873 |
$295.13 |
| 86677 |
|
177 |
168 |
$288.95 |
| A9577 |
Inj multihance |
69 |
64 |
$284.75 |
| 87653 |
|
416 |
397 |
$274.85 |
| 82950 |
|
757 |
724 |
$269.35 |
| J7060 |
5% dextrose/water |
1,203 |
798 |
$205.00 |
| 87426 |
|
288 |
217 |
$187.94 |
| 90853 |
|
1,020 |
306 |
$179.35 |
| 90832 |
|
389 |
241 |
$175.10 |
| 82746 |
|
15 |
15 |
$172.55 |
| 85378 |
|
753 |
647 |
$152.83 |
| 90715 |
|
29 |
29 |
$138.54 |
| 85730 |
|
259 |
218 |
$137.70 |
| 80076 |
|
149 |
134 |
$106.25 |
| J2795 |
Ropivacaine hcl injection |
110 |
97 |
$104.98 |
| 86850 |
|
192 |
160 |
$103.69 |
| 90471 |
|
31 |
31 |
$88.61 |
| 83735 |
|
1,179 |
860 |
$87.93 |
| 86900 |
|
243 |
204 |
$53.54 |
| 86901 |
|
258 |
216 |
$52.69 |
| 86308 |
|
12 |
12 |
$41.22 |
| J1642 |
Inj heparin sodium per 10 u |
729 |
329 |
$24.89 |
| J2060 |
Lorazepam injection |
1,084 |
652 |
$13.70 |
| 86140 |
|
455 |
396 |
$9.83 |
| 86592 |
|
95 |
87 |
$8.10 |
| 77067 |
|
927 |
865 |
$0.00 |
| 86703 |
|
1,928 |
1,734 |
$0.00 |
| 81003 |
|
34 |
27 |
$0.00 |
| G1004 |
Cdsm ndsc |
155 |
146 |
$0.00 |
| J2270 |
Morphine sulfate injection |
96 |
57 |
$0.00 |
| 84550 |
|
213 |
159 |
$0.00 |
| 76000 |
|
13 |
12 |
$0.00 |
| 93010 |
|
75 |
68 |
$0.00 |
| 82570 |
|
79 |
66 |
$0.00 |
| 73030 |
|
72 |
60 |
$0.00 |
| 94060 |
|
14 |
12 |
$0.00 |
| 96413 |
|
186 |
78 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
18 |
13 |
$0.00 |
| 74018 |
|
16 |
12 |
$0.00 |
| 59025 |
|
17 |
12 |
$0.00 |
| 90791 |
|
29 |
29 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
28 |
24 |
$0.00 |
| 84702 |
|
106 |
76 |
$0.00 |
| 99212 |
|
51 |
40 |
$0.00 |
| 80326 |
|
17 |
12 |
$0.00 |
| J7040 |
Normal saline solution infus |
23 |
12 |
$0.00 |
| 96367 |
|
87 |
37 |
$0.00 |
| J2550 |
Promethazine hcl injection |
57 |
41 |
$0.00 |
| 80364 |
|
17 |
12 |
$0.00 |
| 85045 |
|
54 |
48 |
$0.00 |
| 84145 |
|
14 |
13 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
1,162 |
771 |
$0.00 |
| 36591 |
|
138 |
74 |
$0.00 |
| 77063 |
|
563 |
509 |
$0.00 |
| A9270 |
Non-covered item or service |
501 |
219 |
$0.00 |
| 72148 |
|
54 |
52 |
$0.00 |
| 87340 |
|
67 |
66 |
$0.00 |
| 76811 |
|
62 |
58 |
$0.00 |
| 83880 |
|
207 |
180 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
13 |
13 |
$0.00 |
| 88142 |
|
170 |
162 |
$0.00 |
| 83615 |
|
65 |
57 |
$0.00 |
| 76830 |
|
13 |
13 |
$0.00 |
| 86141 |
|
94 |
72 |
$0.00 |
| G0008 |
Admin influenza virus vac |
15 |
13 |
$0.00 |
| 88304 |
|
12 |
12 |
$0.00 |
| 94760 |
|
13 |
12 |
$0.00 |
| 96366 |
|
14 |
13 |
$0.00 |
| A6449 |
Lt compres band >=3" <5"/yd |
19 |
16 |
$0.00 |
| J2360 |
Orphenadrine injection |
39 |
39 |
$0.00 |
| 99213 |
|
15 |
15 |
$0.00 |
| J1815 |
Insulin injection |
30 |
12 |
$0.00 |
| 76536 |
|
21 |
12 |
$0.00 |