| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
4,435 |
3,855 |
$935K |
| Y7506 |
|
14,519 |
11,912 |
$819K |
| 99284 |
|
4,434 |
4,016 |
$663K |
| X4011 |
|
4,665 |
3,691 |
$647K |
| 99283 |
|
5,815 |
5,286 |
$643K |
| 80307 |
|
12,990 |
11,763 |
$567K |
| 80053 |
|
20,667 |
15,681 |
$451K |
| X4006 |
|
2,087 |
1,709 |
$437K |
| 62323 |
|
3,688 |
3,130 |
$430K |
| 85025 |
|
20,881 |
15,886 |
$411K |
| G0482 |
Drug test def 15-21 classes |
3,035 |
2,839 |
$386K |
| G0480 |
Drug test def 1-7 classes |
4,040 |
3,742 |
$280K |
| 93005 |
|
8,555 |
6,736 |
$273K |
| J3490 |
Drugs unclassified injection |
13,440 |
9,369 |
$251K |
| 71045 |
|
6,736 |
5,592 |
$228K |
| G0378 |
Hospital observation per hr |
1,602 |
1,243 |
$183K |
| 94640 |
|
4,145 |
1,642 |
$141K |
| 82550 |
|
6,895 |
4,679 |
$139K |
| G0483 |
Drug test def 22+ classes |
742 |
701 |
$135K |
| 72100 |
|
4,836 |
4,209 |
$125K |
| G0481 |
Drug test def 8-14 classes |
1,525 |
1,317 |
$124K |
| 62321 |
|
950 |
799 |
$120K |
| 84484 |
|
6,300 |
4,052 |
$110K |
| 96374 |
|
1,351 |
1,161 |
$103K |
| 81001 |
|
5,618 |
4,840 |
$102K |
| 70450 |
|
1,279 |
1,094 |
$82K |
| 72148 |
|
970 |
880 |
$80K |
| 84443 |
|
3,339 |
3,023 |
$74K |
| 82553 |
|
4,572 |
2,837 |
$73K |
| 36415 |
|
9,845 |
7,074 |
$73K |
| 87804 |
|
3,072 |
2,600 |
$66K |
| 83690 |
|
1,172 |
967 |
$66K |
| 82150 |
|
1,062 |
878 |
$65K |
| 83880 |
|
2,590 |
2,087 |
$60K |
| 85610 |
|
3,226 |
2,693 |
$59K |
| 74176 |
|
546 |
428 |
$58K |
| 64483 |
|
234 |
192 |
$56K |
| 85730 |
|
3,075 |
2,568 |
$52K |
| 20610 |
|
890 |
742 |
$48K |
| 87635 |
|
1,579 |
1,494 |
$44K |
| 80061 |
|
2,016 |
1,887 |
$36K |
| 72141 |
|
327 |
282 |
$32K |
| 96372 |
|
697 |
611 |
$31K |
| 87880 |
|
1,816 |
1,752 |
$28K |
| J1094 |
Inj dexamethasone acetate |
792 |
729 |
$26K |
| 72040 |
|
1,178 |
1,002 |
$25K |
| 82306 |
|
899 |
855 |
$24K |
| 64493 |
|
79 |
70 |
$23K |
| 96361 |
|
398 |
323 |
$20K |
| 83735 |
|
598 |
513 |
$17K |
| 52224 |
|
46 |
44 |
$17K |
| J2001 |
Lidocaine injection |
720 |
682 |
$16K |
| 96375 |
|
690 |
587 |
$16K |
| 80305 |
|
677 |
603 |
$16K |
| 94760 |
|
448 |
407 |
$15K |
| 20552 |
|
178 |
145 |
$13K |
| 83605 |
|
793 |
663 |
$12K |
| 92507 |
|
559 |
129 |
$12K |
| 87040 |
|
939 |
741 |
$11K |
| 83036 |
|
706 |
652 |
$10K |
| 81025 |
|
224 |
208 |
$9K |
| G0379 |
Direct refer hospital observ |
72 |
55 |
$9K |
| 80050 |
|
82 |
74 |
$7K |
| J1040 |
Methylprednisolone 80 mg inj |
1,888 |
1,739 |
$7K |
| 11042 |
|
336 |
160 |
$6K |
| 90853 |
|
604 |
41 |
$6K |
| 72202 |
|
302 |
259 |
$6K |
| 87633 |
|
14 |
14 |
$5K |
| 87807 |
|
361 |
344 |
$5K |
| 52351 |
|
31 |
29 |
$5K |
| G0260 |
Inj for sacroiliac jt anesth |
101 |
73 |
$5K |
| 73560 |
|
261 |
225 |
$5K |
| 86618 |
|
27 |
17 |
$3K |
| 82803 |
|
274 |
204 |
$3K |
| 74177 |
|
21 |
14 |
$3K |
| 96365 |
|
27 |
25 |
$3K |
| 99282 |
|
37 |
36 |
$2K |
| 73721 |
|
25 |
15 |
$2K |
| 81003 |
|
638 |
523 |
$2K |
| 86677 |
|
31 |
29 |
$2K |
| 36600 |
|
69 |
57 |
$2K |
| 88305 |
|
31 |
31 |
$2K |
| 90837 |
|
102 |
12 |
$1K |
| 93226 |
|
46 |
32 |
$1K |
| 73020 |
|
60 |
52 |
$1K |
| 93306 |
|
14 |
13 |
$996.06 |
| J2405 |
Ondansetron hcl injection |
277 |
234 |
$908.44 |
| 87086 |
|
221 |
192 |
$904.60 |
| 82607 |
|
72 |
65 |
$859.72 |
| 72131 |
|
26 |
25 |
$836.56 |
| 80048 |
|
69 |
67 |
$635.24 |
| J0696 |
Ceftriaxone sodium injection |
164 |
132 |
$490.92 |
| J7120 |
Ringers lactate infusion |
82 |
70 |
$452.64 |
| 85027 |
|
110 |
107 |
$441.67 |
| 84439 |
|
58 |
57 |
$439.51 |
| 27096 |
|
19 |
13 |
$406.08 |
| 84703 |
|
75 |
72 |
$374.99 |
| 71046 |
|
16 |
16 |
$374.35 |
| 82948 |
|
155 |
149 |
$326.21 |
| 84153 |
|
19 |
17 |
$263.55 |
| 87389 |
|
13 |
13 |
$245.18 |
| 0011A |
|
18 |
18 |
$230.40 |
| 85651 |
|
109 |
90 |
$219.75 |
| 86592 |
|
16 |
14 |
$168.29 |
| 80076 |
|
12 |
12 |
$80.70 |
| 84480 |
|
13 |
13 |
$70.43 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
2,219 |
2,061 |
$38.48 |
| 84436 |
|
13 |
13 |
$32.42 |
| 99070 |
|
2,352 |
1,940 |
$29.63 |
| J1100 |
Dexamethasone sodium phos |
1,335 |
1,213 |
$1.22 |
| J1650 |
Inj enoxaparin sodium |
188 |
130 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
19 |
16 |
$0.00 |
| J7040 |
Normal saline solution infus |
104 |
86 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
36 |
29 |
$0.00 |
| 64495 |
|
39 |
33 |
$0.00 |
| J2550 |
Promethazine hcl injection |
14 |
13 |
$0.00 |
| 93229 |
|
16 |
15 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
13 |
13 |
$0.00 |
| J7050 |
Normal saline solution infus |
76 |
52 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
67 |
64 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
27 |
26 |
$0.00 |
| 64494 |
|
39 |
34 |
$0.00 |
| J1170 |
Hydromorphone injection |
15 |
15 |
$0.00 |
| G1007 |
Cdsm aim |
18 |
12 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
12 |
12 |
$0.00 |